Crosby Memorial Hospital

LBN: Picayune Clinic Llc
Crosby Memorial Hospital is an health care organization with primary practice located at 801 Goodyear Blvd , Picayune MS 39466-3221. The organization recently has only one registered license in Hospitals / Rural, which is considered as the primary health care specialty. Picayune Clinic Llc can be contacted via phone (601) 798-4711, or through Grimm, Steve via phone (601) 798-4711.

Contact Information

Primary practice address
801 Goodyear Blvd Picayune MS 39466-3221
Phone: (601) 798-4711
Fax: (601) 749-3187
Website:
Map and Directions
Authorized official contact:
Name: Grimm, Steve
Phone: (601) 798-4711

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X 12086 Mississippi

Profile Details

NPI number 1578564712
LBN Legal business name Picayune Clinic Llc
DBA Doing business as Crosby Memorial Hospital
Authorized official Grimm, Steve
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1578564712 NPPES
Mississippi MEDICAID 00220682

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