Blackwater Medical Llc

LBN: Blackwater Medical Llc
Blackwater Medical Llc is an health care organization with primary practice located at 1 Lincoln Pkwy Suite #305, Hattiesburg MS 39402-3262. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Blackwater Medical Llc can be contacted via phone (601) 264-0059, or through Collins, James F via phone (601) 264-0059.

Contact Information

Primary practice address
1 Lincoln Pkwy Suite #305 Hattiesburg MS 39402-3262
Phone: (601) 264-0059
Fax: (866) 691-3186
Website:
Map and Directions
Authorized official contact:
Name: Collins, James F
Phone: (601) 264-0059

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1033343603
LBN Legal business name Blackwater Medical Llc
DBA Doing business as
Authorized official Collins, James F
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2009
Last updated May 11th, 2009 - 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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