Organization Name: | MAGEE BENEVOLENT ASSOCIATION D/B/A MAGEE GENERAL HOSPITAL |
NPI Number: | 1487819934 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALTHEA H CRUMPTON (C E O) |
Mailing Address: | 376a Simpson Highway 149 Magee |
State: | MS US |
Postal Code: | 391113409 |
Phone Number: | 6018495321 |
Fax Number: | 6018497205 |
NPI Enumeration Date: | 07/24/2008 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA00024 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |