Peace Children'S Clinic

LBN: Peace Children'S Clinic
Peace Children'S Clinic is an health care organization with primary practice located at 514H E Woodrow Wilson Ave , Jackson MS 39216-4538. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Peace Children'S Clinic can be contacted via phone (601) 713-3900, or through Lawson, Louisa E via phone (601) 713-3900.

Contact Information

Primary practice address
514H E Woodrow Wilson Ave Jackson MS 39216-4538
Phone: (601) 713-3900
Fax: (601) 713-3970
Website:
Map and Directions
Authorized official contact:
Name: Lawson, Louisa E Doctor of Medicine (MD)
Phone: (601) 713-3900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 14149 Mississippi

Profile Details

NPI number 1891975603
LBN Legal business name Peace Children'S Clinic
DBA Doing business as
Authorized official Lawson, Louisa E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2007
Last updated Nov 8th, 2007 - about 19 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 1891975603 NPPES
Mississippi MEDICAID 02305351

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