Lighthouse Medical Clinic

LBN: Mississippi State Hospital
Lighthouse Medical Clinic is an health care organization with primary practice located at 350 Capers Ave , Jackson MS 39203-2131. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Mississippi State Hospital can be contacted via phone (601) 351-8000, or through Chastain, James G. via phone (601) 351-8000.

Contact Information

Primary practice address
350 Capers Ave Jackson MS 39203-2131
Phone: (601) 351-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chastain, James G.
Phone: (601) 351-8000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X DCS-MSH Mississippi

Profile Details

NPI number 1134366867
LBN Legal business name Mississippi State Hospital
DBA Doing business as Lighthouse Medical Clinic
Authorized official Chastain, James G.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2009
Last updated Jan 16th, 2009 - about 17 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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