Camp Shelby

LBN: Eisenhower Army Medical Center
Camp Shelby is an health care organization with primary practice located at 1001 Hardy St , Hattiesburg MS 39401-4165. The organization recently has only one registered license in Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, which is considered as the primary health care specialty. Eisenhower Army Medical Center can be contacted via phone (706) 787-5811, or through Primos, Marvin via phone (706) 787-7204.

Contact Information

Primary practice address
1001 Hardy St Hattiesburg MS 39401-4165
Phone: (706) 787-5811
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Primos, Marvin
Phone: (706) 787-7204

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient 261QM1100X

Profile Details

NPI number 1104031194
LBN Legal business name Eisenhower Army Medical Center
DBA Doing business as Camp Shelby
Authorized official Primos, Marvin
Entity Organization
Organization subpart 1 Yes
Enumeration date May 11th, 2007
Last updated Jan 29th, 2013 - about 12 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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