Singing River Services Region Xiv

LBN: Singing River Mental Health Mental Retardation Services
Singing River Services Region Xiv is an health care organization with primary practice located at 3407 Shamrock Ct , Gautier MS 39553-5337. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Singing River Mental Health Mental Retardation Services can be contacted via phone (228) 497-0690, or through St Romain, Bretta via phone (228) 497-0690.

Contact Information

Primary practice address
3407 Shamrock Ct Gautier MS 39553-5337
Phone: (228) 497-0690
Fax: (228) 497-0794
Website:
Map and Directions
Authorized official contact:
Name: St Romain, Bretta
Phone: (228) 497-0690

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 14452/5.1 Mississippi

Profile Details

NPI number 1265837983
LBN Legal business name Singing River Mental Health Mental Retardation Services
DBA Doing business as Singing River Services Region Xiv
Authorized official St Romain, Bretta
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2014
Last updated Apr 28th, 2016 - about 10 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 1265837983 NPPES
Mississippi MEDICAID 01832567
Mississippi Other 2153586

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