Elite Medical, Pllc

LBN: Elite Medical, Pllc
Elite Medical, Pllc is an health care organization with primary practice located at 2633 Traceland Dr , Tupelo MS 38801-4238. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Elite Medical, Pllc can be contacted via phone (662) 205-4652, or through Haire, Anne Dye via phone (662) 205-4652.

Contact Information

Primary practice address
2633 Traceland Dr Tupelo MS 38801-4238
Phone: (662) 205-4652
Fax: (662) 205-4651
Website:
Map and Directions
Authorized official contact:
Name: Haire, Anne Dye Doctor of Osteopathy (DO)
Phone: (662) 205-4652

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 16935 Mississippi

Profile Details

NPI number 1871887661
LBN Legal business name Elite Medical, Pllc
DBA Doing business as
Authorized official Haire, Anne Dye Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2011
Last updated Oct 22nd, 2013 - about 13 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 1871887661 NPPES
Mississippi MEDICAID 00126275

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