Brookhaven Medical Center, Pllc

LBN: Brookhaven Medical Center, Pllc
Brookhaven Medical Center, Pllc is an health care organization with primary practice located at 218 S Victoria Ave , Cleveland MS 38732-3234. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Brookhaven Medical Center, Pllc can be contacted via phone (901) 217-3480, or through Brooks, Deborah Michelle via phone (901) 217-3480.

Contact Information

Primary practice address
218 S Victoria Ave Cleveland MS 38732-3234
Phone: (901) 217-3480
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Deborah Michelle Doctor of Medicine (MD)
Phone: (901) 217-3480

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17310 Mississippi

Profile Details

NPI number 1821033341
LBN Legal business name Brookhaven Medical Center, Pllc
DBA Doing business as
Authorized official Brooks, Deborah Michelle Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 5th, 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 1821033341 NPPES
Mississippi MEDICAID 00124352

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