St Dominic Family Practice Brandon

LBN: St Dominic Medical Associates Llc
St Dominic Family Practice Brandon is an health care organization with primary practice located at 1297 West Government Street , Brandon MS 39042. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. St Dominic Medical Associates Llc can be contacted via phone (601) 200-4790, or through Sinclair, Jennifer via phone (601) 200-2000.

Contact Information

Primary practice address
1297 West Government Street Brandon MS 39042
Phone: (601) 200-4790
Fax: (601) 200-4855
Website:
Map and Directions
Authorized official contact:
Name: Sinclair, Jennifer
Phone: (601) 200-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18818 Mississippi

Profile Details

NPI number 1548698608
LBN Legal business name St Dominic Medical Associates Llc
DBA Doing business as St Dominic Family Practice Brandon
Authorized official Sinclair, Jennifer
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 28th, 2013
Last updated Dec 30th, 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 1548698608 NPPES
Mississippi MEDICAID 02751790

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