Medical Arts Pediatric Clinic

LBN: Medical Arts Pediatric Clinic
Medical Arts Pediatric Clinic is an health care organization with primary practice located at 2024 15Th St 5Th Floor North, Meridian MS 39301-4130. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Medical Arts Pediatric Clinic can be contacted via phone (601) 693-2777, or through Simmons, William B via phone (601) 693-2777.

Contact Information

Primary practice address
2024 15Th St 5Th Floor North Meridian MS 39301-4130
Phone: (601) 693-2777
Fax: (601) 482-8219
Website:
Map and Directions
Authorized official contact:
Name: Simmons, William B Doctor of Medicine (MD)
Phone: (601) 693-2777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1124119862
LBN Legal business name Medical Arts Pediatric Clinic
DBA Doing business as
Authorized official Simmons, William B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1124119862 NPPES
Mississippi MEDICAID 09012505

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