The Woman'S Clinic Of Tupelo

LBN: The Woman'S Clinic Of Tupelo
The Woman'S Clinic Of Tupelo is an health care organization with primary practice located at 1512 Medical Park Cir , Tupelo MS 38801-6560. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. The Woman'S Clinic Of Tupelo can be contacted via phone (662) 844-0867, or through Crecelius, Laura J via phone (662) 844-0867.

Contact Information

Primary practice address
1512 Medical Park Cir Tupelo MS 38801-6560
Phone: (662) 844-0867
Fax: (662) 844-7086
Website:
Map and Directions
Authorized official contact:
Name: Crecelius, Laura J Doctor of Medicine (MD)
Phone: (662) 844-0867

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1013994060
LBN Legal business name The Woman'S Clinic Of Tupelo
DBA Doing business as
Authorized official Crecelius, Laura J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2005
Last updated Jul 21st, 2022 - about 4 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 1013994060 NPPES
Mississippi MEDICAID 00117464
Mississippi MEDICAID 00126770
Mississippi MEDICAID 00019541

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