Organization Name: | UNIV. OF MISS. STUDENT HEALTH SERVICE |
NPI Number: | 1679799175 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA GAIL COLLIER (DIRECTOR) |
Mailing Address: | Rebel Drive University |
State: | MS US |
Postal Code: | 38677 |
Phone Number: | 6629157274 |
Fax Number: | 6629155292 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Student Health |
Taxonomy Definition: |