Medserve, Pa

LBN: Medserve, Pa
Medserve, Pa is an health care organization with primary practice located at Manhattan Nursing And Rehabilitation Center 4540 Manhattan Rd, Jackson MS 39206. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Medserve, Pa can be contacted via phone (601) 206-0901, or through Fulcher, Todd L via phone (601) 206-0901.

Contact Information

Primary practice address
Manhattan Nursing And Rehabilitation Center 4540 Manhattan Rd Jackson MS 39206
Phone: (601) 206-0901
Fax: (888) 240-6288
Website:
Map and Directions
Authorized official contact:
Name: Fulcher, Todd L MD, CMD
Phone: (601) 206-0901

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12503 Mississippi

Profile Details

NPI number 1871883223
LBN Legal business name Medserve, Pa
DBA Doing business as
Authorized official Fulcher, Todd L MD, CMD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2011
Last updated Jan 13th, 2022 - about 4 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 1871883223 NPPES
Mississippi MEDICAID 05675311

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