Blackwell'S Family Medicine Llc

LBN: Blackwell'S Family Medicine Llc
Blackwell'S Family Medicine Llc is an health care organization with primary practice located at 107 Ball Ave , Tylertown MS 39667-2101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Blackwell'S Family Medicine Llc can be contacted via phone (601) 303-8264, or through Blackwell, Chrisotpher William via phone (601) 377-1975.

Contact Information

Primary practice address
107 Ball Ave Tylertown MS 39667-2101
Phone: (601) 303-8264
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blackwell, Chrisotpher William Family Nurse Practitioner (FNP)
Phone: (601) 377-1975

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1366003436
LBN Legal business name Blackwell'S Family Medicine Llc
DBA Doing business as
Authorized official Blackwell, Chrisotpher William Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2019
Last updated Mar 15th, 2021 - about 5 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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