Hattiesburg Clinic Pa in Hattiesburg - Multi-specialty
Hattiesburg Clinic Pa - NPI 1740213446
Hattiesburg Clinic Pa is a Multi-specialty in Hattiesburg, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Hattiesburg Clinic Pa is 1740213446. The last update date is 2020-10-07.
Hattiesburg Clinic Pa's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015795488 and fax number 6015795240. The mailing address for Hattiesburg Clinic Pa is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hattiesburg Clinic Pa |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6015795488 |
| Fax Number | 6015795240 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Batson N Bryan |
| Telephone Number | 6012685601 |
NPI Number Detail
| NPI Number | 1740213446 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2020-10-07 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6015795488 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9014185 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Hattiesburg Clinic Pa?
The Hattiesburg Clinic Pa has been issued the NPI (National Provider Identifier) 1740213446 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Hattiesburg Clinic Pa is physically located?
The Hattiesburg Clinic Pa is physically situated at the following address: 415 S 28Th Ave, Hattiesburg, MS, 394017246.
What is the Hattiesburg Clinic Pa's area of specialization and corresponding taxonomy classification?
The Hattiesburg Clinic Pa's specialty field is Multi-specialty, and it falls under the taxonomy code 261Qm1300X, which categorizes healthcare providers based on their specialties.
On what date did the Hattiesburg Clinic Pa receive the assignment of its 1740213446 from the Centers for Medicare & Medicaid Services?
The Hattiesburg Clinic Pa was issued its 1740213446 by the Centers for Medicare & Medicaid Services on 2006-07-08.
As of what date were the details pertaining to Hattiesburg Clinic Pa last refreshed?
The information related to the Hattiesburg Clinic Pa, including its address, specialty, and other relevant details, was last updated on 2020-10-07.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY