Vicksburg Healthcare LLC
Clinical Medical Laboratory in Vicksburg, MS. Organization (NPI-2).
NPI number1639799430
StatusActive
Last updated in NPPESApr 21, 2020
Details
- NPI
- 1639799430
- Entity type
- Organization (NPI-2)
- Legal business name
- Vicksburg Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Apr 21, 2020
- Certification date
- Apr 21, 2020
- Last updated
- Apr 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Merit Health River Region (Doing Business As)
Practice location
2100 Highway 61 NVicksburg, MS 39183-8211
Phone 601-883-5000
Mailing address
Po Box 841672Dallas, TX 75284-1672
Authorized official
James P Wright
Vp Physician Business Services
6157781502
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