Pontotoc Health Providers

LBN: Pontotoc Health Providers
Pontotoc Health Providers is an health care organization with primary practice located at 450 E President Ave , Tupelo MS 38801-5599. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Pontotoc Health Providers can be contacted via phone (662) 377-4685, or through Reppert, Joseph via phone (662) 377-3978.

Contact Information

Primary practice address
450 E President Ave Tupelo MS 38801-5599
Phone: (662) 377-4685
Fax: (662) 377-2057
Website:
Map and Directions
Authorized official contact:
Name: Reppert, Joseph
Phone: (662) 377-3978

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1033589163
LBN Legal business name Pontotoc Health Providers
DBA Doing business as
Authorized official Reppert, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2015
Last updated Oct 1st, 2015 - about 11 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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