Phillips Medical Services Pllc

LBN: Phillips Medical Services Pllc
Phillips Medical Services Pllc is an health care organization with primary practice located at 909 Ellis Ave Ste 16 , Jackson MS 39209-6256. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Phillips Medical Services Pllc can be contacted via phone (601) 948-8503, or through Duncan, Tricia via phone (601) 878-6945.

Contact Information

Primary practice address
909 Ellis Ave Ste 16 Jackson MS 39209-6256
Phone: (601) 948-8503
Fax: (601) 948-8502
Website:
Map and Directions
Authorized official contact:
Name: Duncan, Tricia
Phone: (601) 878-6945

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10785 Mississippi

Profile Details

NPI number 1174792790
LBN Legal business name Phillips Medical Services Pllc
DBA Doing business as
Authorized official Duncan, Tricia
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2008
Last updated Apr 30th, 2014 - about 12 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 1174792790 NPPES
Mississippi MEDICAID 00116024

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