Eastgate Peds Care

LBN: Eastgate Peds Care
Eastgate Peds Care is an health care organization with primary practice located at 2203 Highway 39 N Ste B , Meridian MS 39301-2609. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Eastgate Peds Care can be contacted via phone (601) 484-5955, or through Newell, Beatrice O. via phone (601) 484-5955.

Contact Information

Primary practice address
2203 Highway 39 N Ste B Meridian MS 39301-2609
Phone: (601) 484-5955
Fax: (601) 484-5960
Website:
Map and Directions
Authorized official contact:
Name: Newell, Beatrice O. MD FAAP
Phone: (601) 484-5955

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1063557163
LBN Legal business name Eastgate Peds Care
DBA Doing business as
Authorized official Newell, Beatrice O. MD FAAP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1063557163 NPPES
Mississippi MEDICAID 07825736

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