Vicksburg Hb Medical Services LLC
Clinic/Center, Multi-Specialty in Vicksburg, MS. Organization (NPI-2).
NPI number1497436331
StatusActive
Last updated in NPPESAug 9, 2023
Details
- NPI
- 1497436331
- Entity type
- Organization (NPI-2)
- Legal business name
- Vicksburg Hb Medical Services LLC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2023
- Certification date
- Aug 9, 2023
- Last updated
- Aug 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 208M00000X | Hospitalist | – | – | |
| 261QE0002X | Clinic/Center, Emergency Care | – | – |
Other names
- Merit Health Vicksburg (Doing Business As)
Practice location
2100 Highway 61 NVicksburg, MS 39183-8211
Phone 601-883-1395
Mailing address
Po Box 689022Franklin, TN 37068-9022
Phone 615-465-7000
Authorized official
Jennifer L Jackson
Sr. Director Provider Enrollment
6154653334
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