Housing Authority - Clarksdale

LBN: Housing Authority - Clarksdale
Housing Authority - Clarksdale is an health care organization with primary practice located at 500 Indiana Ave , Clarksdale MS 38614-5903. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Housing Authority - Clarksdale can be contacted via phone (662) 627-2720, or through Spencer, Royal Ann via phone (662) 624-8030.

Contact Information

Primary practice address
500 Indiana Ave Clarksdale MS 38614-5903
Phone: (662) 627-2720
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Spencer, Royal Ann
Phone: (662) 624-8030

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1144355876
LBN Legal business name Housing Authority - Clarksdale
DBA Doing business as
Authorized official Spencer, Royal Ann
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 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 1144355876 NPPES
Mississippi MEDICAID 00770322

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