Tupelo Medical Group, Llc

LBN: Tupelo Medical Group, Llc
Tupelo Medical Group, Llc is an health care organization with primary practice located at 1265 Cliff Gookin Boulevard , Tupelo MS 38801-6749. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Tupelo Medical Group, Llc can be contacted via phone (662) 840-2131, or through Loden, Julian D. via phone (662) 407-2528.

Contact Information

Primary practice address
1265 Cliff Gookin Boulevard Tupelo MS 38801-6749
Phone: (662) 840-2131
Fax: (662) 840-2522
Website:
Map and Directions
Authorized official contact:
Name: Loden, Julian D. Doctor of Medicine (MD)
Phone: (662) 407-2528

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1396783916
LBN Legal business name Tupelo Medical Group, Llc
DBA Doing business as
Authorized official Loden, Julian D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Dec 12th, 2011 - about 15 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 1396783916 NPPES
Mississippi MEDICAID 09015601

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