Mobile Heart Station Inc in Picayune - Vascular Specialist
Mobile Heart Station Inc - NPI 1356428569
Mobile Heart Station Inc is a Vascular Specialist in Picayune, Mississippi. Mobile Heart Station Inc practices all healthcare services and medical treatments related to Vascular Specialist. The NPI Number for Mobile Heart Station Inc is 1356428569. The last update date is 2010-11-02.
Mobile Heart Station Inc's current location address is 196 Timberlane Road, Picayune, Mississippi. You can contact this provider via phone number 6017995169 and fax number 6017993998. The mailing address for Mobile Heart Station Inc is 196 Timberlane Road, Picayune, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mobile Heart Station Inc |
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Address | 196 Timberlane Road, Picayune, Mississippi |
Phone Number | 6017995169 |
Fax Number | 6017993998 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Vichayanond T War |
Credentials | PHD FASE R |
Telephone Number | 6017995169 |
NPI Number Detail
NPI Number | 1356428569 |
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Provider Enumeration Date | 2006-11-01 |
Last Updated Date | 2010-11-02 |
Provider Mailing Address Detail
Address | 196 Timberlane Road |
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City | Picayune |
State | Mississippi (MS) |
Post Code | 39466 |
Phone Number | 6017995169 |
Fax Number | 6017993998 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Specialist |
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Taxonomy | 246Xc2903X |
Licence No | ARDMS11532 |
Definition: Performs vascular tests and interventions to assess blood flow. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
470000422 | MS | MEDICARE RAILROAD | |
117333 | MS | -- | |
5CB82 | LA | MEDICARE OF LA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mobile Heart Station Inc by the Centers for Medicare & Medicaid Services?
The Mobile Heart Station Inc has been issued the NPI (National Provider Identifier) 1356428569, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mobile Heart Station Inc located?
The Mobile Heart Station Inc is located at 196 Timberlane Road, Picayune, MS 39466.
What is Mobile Heart Station Inc's area of expertise and its corresponding taxonomy classification?
The Mobile Heart Station Inc's field of specialization is Vascular Specialist, and it falls under the taxonomy code 246Xc2903X, which categorizes healthcare providers based on their areas of practice.
When was the Mobile Heart Station Inc's 1356428569 issued?
The Mobile Heart Station Inc's 1356428569 was issued on 2006-11-01.
As of what date was the information regarding Mobile Heart Station Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mobile Heart Station Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-11-02.