Pediatrust Hattiesburg

LBN: Pediatrust Hattiesburg
Pediatrust Hattiesburg is an health care organization with primary practice located at 6270 Sevenoaks Ave , Baton Rouge LA 70806-7330. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Care, Pediatric, which is considered as the primary health care specialty. Pediatrust Hattiesburg can be contacted via phone (225) 252-7633, or through Craig, Leann via phone (225) 252-7633.

Contact Information

Primary practice address
6270 Sevenoaks Ave Baton Rouge LA 70806-7330
Phone: (225) 252-7633
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Craig, Leann
Phone: (225) 252-7633

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X 1902256191 Mississippi

Profile Details

NPI number 1902256191
LBN Legal business name Pediatrust Hattiesburg
DBA Doing business as
Authorized official Craig, Leann
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2016
Last updated Jan 3rd, 2017 - about 8 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 1902256191 NPPES
Mississippi MEDICAID 475088111

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