Phoenix Kids Care Pllc

LBN: Phoenix Kids Care Pllc
Phoenix Kids Care Pllc is an health care organization with primary practice located at 2203 Highway 39 N Ste B , Meridian MS 39301-2609. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Phoenix Kids Care Pllc can be contacted via phone (601) 453-3376, or through Hull, Rachel N via phone (601) 282-8543.

Contact Information

Primary practice address
2203 Highway 39 N Ste B Meridian MS 39301-2609
Phone: (601) 453-3376
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hull, Rachel N Doctor of Medicine (MD)
Phone: (601) 282-8543

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1467176016
LBN Legal business name Phoenix Kids Care Pllc
DBA Doing business as
Authorized official Hull, Rachel N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2022
Last updated Sep 28th, 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 1467176016 NPPES
Mississippi MEDICAID 08686521

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