Southern Surgery Center, Llc

LBN: Southern Surgery Center, Llc
Southern Surgery Center, Llc is an health care organization with primary practice located at 3688 Veterans Memorial Dr Suite 100, Hattiesburg MS 39401-8246. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Southern Surgery Center, Llc can be contacted via phone (601) 554-7525, or through Burckel, David M. via phone (601) 554-7525.

Contact Information

Primary practice address
3688 Veterans Memorial Dr Suite 100 Hattiesburg MS 39401-8246
Phone: (601) 554-7525
Fax: (601) 554-7574
Website:
Map and Directions
Authorized official contact:
Name: Burckel, David M.
Phone: (601) 554-7525

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 015 Mississippi

Profile Details

NPI number 1912906157
LBN Legal business name Southern Surgery Center, Llc
DBA Doing business as
Authorized official Burckel, David M.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Dec 28th, 2009 - about 17 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 1912906157 NPPES
Mississippi MEDICAID 00770390
Mississippi Other 000050871

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