Premier Medical Group Of Mississippi Llc in Jackson - Clinic/center
Premier Medical Group Of Mississippi Llc - NPI 1548219884
Premier Medical Group Of Mississippi Llc is a Clinic/center in Jackson, Mississippi. Premier Medical Group Of Mississippi Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Premier Medical Group Of Mississippi Llc is 1548219884. The last update date is 2009-02-16.
Premier Medical Group Of Mississippi Llc's current location address is 501 Marshall St, Jackson, Mississippi. You can contact this provider via phone number 6013522273 and fax number 6013534414. The mailing address for Premier Medical Group Of Mississippi Llc is 501 Marshall St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Premier Medical Group Of Mississippi Llc |
---|---|
Address | 501 Marshall St, Jackson, Mississippi |
Phone Number | 6013522273 |
Fax Number | 6013534414 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
---|---|
Authorized Official Name | Bethea C James |
Telephone Number | 6013522273 |
NPI Number Detail
NPI Number | 1548219884 |
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Provider Enumeration Date | 2006-05-05 |
Last Updated Date | 2009-02-16 |
Provider Mailing Address Detail
Address | 501 Marshall St |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392021651 |
Phone Number | 6013522273 |
Fax Number | 6013534414 |
Provider's Primary Taxonomy Detail
Speciality | Clinic/center |
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Taxonomy | 261Q00000X |
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
9014760 | MS | -- | |
CD1075 | MS | RAILROAD MEDICARE |
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What is the unique 10-digit identifier code assigned to Premier Medical Group Of Mississippi Llc by the Centers for Medicare & Medicaid Services?
The Premier Medical Group Of Mississippi Llc has been issued the NPI (National Provider Identifier) 1548219884 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Premier Medical Group Of Mississippi Llc located?
The Premier Medical Group Of Mississippi Llc is located at 501 Marshall St, Jackson, MS 392021651.
What is the area of specialization for Premier Medical Group Of Mississippi Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Premier Medical Group Of Mississippi Llc is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
When was the Premier Medical Group Of Mississippi Llc's 1548219884 issued?
The Premier Medical Group Of Mississippi Llc's 1548219884 was issued on 2006-05-05.
As of what date were the details pertaining to Premier Medical Group Of Mississippi Llc last refreshed?
The information related to the Premier Medical Group Of Mississippi Llc, including its address, specialty, and other relevant details, was last updated on 2009-02-16.