St Michaels Urgent Care Of Hattiesburg

LBN: St Michaels Urgent Care Of Hattiesburg
St Michaels Urgent Care Of Hattiesburg is an health care organization with primary practice located at 3700 Hardy St , Hattiesburg MS 39402-1610. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. St Michaels Urgent Care Of Hattiesburg can be contacted via phone (601) 602-2014, or through Cooley, Marva Joyce via phone (601) 909-2539.

Contact Information

Primary practice address
3700 Hardy St Hattiesburg MS 39402-1610
Phone: (601) 602-2014
Fax: (601) 602-2015
Website:
Map and Directions
Authorized official contact:
Name: Cooley, Marva Joyce CPC
Phone: (601) 909-2539

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R875464 Mississippi

Profile Details

NPI number 1124459136
LBN Legal business name St Michaels Urgent Care Of Hattiesburg
DBA Doing business as
Authorized official Cooley, Marva Joyce CPC
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 2nd, 2013
Last updated Sep 6th, 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 1124459136 NPPES
Mississippi MEDICAID 00776879

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