Upa Pllc Critical Care in Jackson - Pediatric Critical Care Medicine
Upa Pllc Critical Care - NPI 1376696138
Upa Pllc Critical Care is a Pediatric Critical Care Medicine in Jackson, Mississippi. Upa Pllc Critical Care practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Upa Pllc Critical Care is 1376696138. The last update date is 2020-08-22.
Upa Pllc Critical Care's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6018156960. The mailing address for Upa Pllc Critical Care is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Upa Pllc Critical Care |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6018156960 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Evans B Owen |
| Credentials | M.D. |
| Telephone Number | 6019845214 |
NPI Number Detail
| NPI Number | 1376696138 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6018156960 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9014111 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Upa Pllc Critical Care by the Centers for Medicare & Medicaid Services?
The Upa Pllc Critical Care has been issued the NPI (National Provider Identifier) 1376696138. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Upa Pllc Critical Care is located?
The Upa Pllc Critical Care is situated at the following address: 2500 N State St, Jackson, MS, 392164500.
What is the Upa Pllc Critical Care's area of specialization and corresponding taxonomy classification?
The Upa Pllc Critical Care's specialty field is Pediatric Critical Care Medicine, and it falls under the taxonomy code 2080P0203X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1376696138 to Upa Pllc Critical Care?
The Centers for Medicare & Medicaid Services assigned the 1376696138 to Upa Pllc Critical Care on 2007-01-18.
When was the Upa Pllc Critical Care's information last updated?
The Upa Pllc Critical Care's information was last updated on 2020-08-22.