Medical Plaza On Harper

LBN: Medical Plaza On Harper Llc
Medical Plaza On Harper is an health care organization with primary practice located at 1425 S. Harper Road , Corinth MS 38834. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Medical Plaza On Harper Llc can be contacted via phone (662) 286-6337, or through Doran, Jesse Bart via phone (662) 286-6337.

Contact Information

Primary practice address
1425 S. Harper Road Corinth MS 38834
Phone: (662) 286-6337
Fax: (662) 396-6333
Website:
Map and Directions
Authorized official contact:
Name: Doran, Jesse Bart
Phone: (662) 286-6337

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 08781/01.1 Mississippi

Profile Details

NPI number 1801176144
LBN Legal business name Medical Plaza On Harper Llc
DBA Doing business as Medical Plaza On Harper
Authorized official Doran, Jesse Bart
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2011
Last updated Sep 2nd, 2015 - about 11 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 1801176144 NPPES
Other 2588412 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 00529591 NCPDP PROVIDER IDENTIFICATION NUMBER

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