Kidney Disease & Hypertension Centers, Pa in Pascagoula - Medical Specialty
Kidney Disease & Hypertension Centers, Pa - NPI 1568491728
Kidney Disease & Hypertension Centers, Pa is a Medical Specialty in Pascagoula, Mississippi. Kidney Disease & Hypertension Centers, Pa practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Kidney Disease & Hypertension Centers, Pa is 1568491728. The last update date is 2020-08-22.
Kidney Disease & Hypertension Centers, Pa's current location address is 2712 Criswell Ave, Pascagoula, Mississippi. You can contact this provider via phone number 2287620713 and fax number 2287620712. The mailing address for Kidney Disease & Hypertension Centers, Pa is 2712 Criswell Ave, Pascagoula, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kidney Disease & Hypertension Centers, Pa |
|---|---|
| Address | 2712 Criswell Ave, Pascagoula, Mississippi |
| Phone Number | 2287620713 |
| Fax Number | 2287620712 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Brunt R Joel |
| Credentials | MD |
| Telephone Number | 2287620713 |
NPI Number Detail
| NPI Number | 1568491728 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2712 Criswell Ave |
|---|---|
| City | Pascagoula |
| State | Mississippi (MS) |
| Post Code | 395671143 |
| Phone Number | 2287620713 |
| Fax Number | 2287620712 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 9811 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9014436 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kidney Disease & Hypertension Centers, Pa by the Centers for Medicare & Medicaid Services?
The Kidney Disease & Hypertension Centers, Pa has been assigned the NPI (National Provider Identifier) 1568491728 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kidney Disease & Hypertension Centers, Pa is geographically located?
The Kidney Disease & Hypertension Centers, Pa is physically situated at the following location: 2712 Criswell Ave, Pascagoula, MS, 395671143.
What is the area of specialization for Kidney Disease & Hypertension Centers, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kidney Disease & Hypertension Centers, Pa is Medical Specialty, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm2500X.
On what date did the Kidney Disease & Hypertension Centers, Pa receive the assignment of its 1568491728 from the Centers for Medicare & Medicaid Services?
The Kidney Disease & Hypertension Centers, Pa was issued its 1568491728 by the Centers for Medicare & Medicaid Services on 2006-07-01.
As of what date were the details pertaining to Kidney Disease & Hypertension Centers, Pa last refreshed?
The information related to the Kidney Disease & Hypertension Centers, Pa, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA