V A South
LBN: V A South
V A South is an health care organization with primary practice located at 4304 Highway 80 W Ste A , Jackson MS 39209-5922. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
V A South can be contacted via phone (601) 636-6019, or through Harris, Marcus T via phone (601) 927-7671.
Contact Information
Primary practice address
4304 Highway 80 W Ste A
Jackson MS 39209-5922
Phone: (601) 636-6019
Fax: (601) 661-8457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT3192 | Mississippi |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT2019 | Mississippi |
Profile Details
| NPI number | 1821152877 |
|---|---|
| LBN Legal business name | V A South |
| DBA Doing business as | V A South |
| Authorized official | Harris, Marcus T Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Aug 22nd, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821152877 | NPPES |
| Mississippi | MEDICAID | 00124552 |
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