Bedford Care Center-Monroe Hall, Llc

LBN: Bedford Care Center-Monroe Hall, Llc
Bedford Care Center-Monroe Hall, Llc is an health care organization with primary practice located at 300 Cahal St , Hattiesburg MS 39401-2922. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Bedford Care Center-Monroe Hall, Llc can be contacted via phone (601) 582-9157, or through Worrel, Stephen A. via phone (601) 583-3232.

Contact Information

Primary practice address
300 Cahal St Hattiesburg MS 39401-2922
Phone: (601) 582-9157
Fax: (601) 582-2639
Website:
Map and Directions
Authorized official contact:
Name: Worrel, Stephen A.
Phone: (601) 583-3232

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 951 Mississippi

Profile Details

NPI number 1578545646
LBN Legal business name Bedford Care Center-Monroe Hall, Llc
DBA Doing business as
Authorized official Worrel, Stephen A.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2005
Last updated Jan 15th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578545646 NPPES
Mississippi Other 000087215 BCBS PROVIDER NUMBER
Mississippi MEDICAID 00230172 BCBS PROVIDER NUMBER

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