NPI 1821021155 HATTIESBURG CLINIC, PA HATTIESBURG MS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Hattiesburg Clinic, Pa - NPI: 1821021155

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: HATTIESBURG CLINIC, PA
NPI Number: 1821021155
Entity Type Code: Organizational (2)
Authorized Official Name: TOMMY G THORNTON
(EXECUTIVE DIRECTOR)
Mailing Address: 4820 Plaza Dr
Tylertown
State: MS US
Postal Code: 396679221
Phone Number: 6012220311
Fax Number: 6012220351
NPI Enumeration Date: 07/09/2006
NPI Last Update Date: 08/27/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QE0700X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: End-Stage Renal Disease (ESRD) Treatment
Taxonomy Definition:


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