Spectrum The Other Clinic

LBN: Spectrum The Other Clinic
Spectrum The Other Clinic is an health care organization with primary practice located at 709 Hardy St , Hattiesburg MS 39401-3666. The organization recently has 5 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. Spectrum The Other Clinic can be contacted via phone (601) 466-9495, or through Pace, Stacie M via phone (601) 466-9495.

Contact Information

Primary practice address
709 Hardy St Hattiesburg MS 39401-3666
Phone: (601) 466-9495
Fax: (601) 469-9965
Website:
Map and Directions
Authorized official contact:
Name: Pace, Stacie M Certified Nurse Practitioner (CNP)
Phone: (601) 466-9495

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1447893888
LBN Legal business name Spectrum The Other Clinic
DBA Doing business as
Authorized official Pace, Stacie M Certified Nurse Practitioner (CNP)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2019
Last updated Apr 6th, 2021 - about 5 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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