Epic Systems Corporation Applied Informatics Physician
Private Vehicle in Honolulu, HI. Organization (NPI-2).
NPI number1568095503
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1568095503
- Entity type
- Organization (NPI-2)
- Legal business name
- Epic Systems Corporation Applied Informatics Physician
- Organization subpart
- No
- Enumeration date
- Feb 18, 2020
- Certification date
- Sep 30, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – | |
| 332100000X | Department of Veterans Affairs (VA) Pharmacy | – | – | |
| 251B00000X | Case Management | – | – | |
| 347D00000X | Train | – | – |
Practice location
229 Paoakalani Ave # 714Honolulu, HI 96815-3764
Phone 650-253-0000 · Fax 650-253-0001
Mailing address
300 Fairway DrHattiesburg, MS 39401-7715
Phone 650-253-0000 · Fax 650-253-0001
Other practice locations
2500 N State St
Jackson, MS 39216-4500
Jackson, MS 39216-4500
Phone 888-815-2005
415 S 28th Ave
Hattiesburg, MS 39401-7283
Hattiesburg, MS 39401-7283
Phone 601-264-6000
Authorized official
Jacob Cornelius Parker
Specialist Technologist
6502530000
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