PACIFIC PHYSICIAN SERVICES LLC NPI 1285653386

NPI Information

NPI: 1285653386
Provider Name: PACIFIC PHYSICIAN SERVICES, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
101 ASBURY CIRLCE
HATTIESBURG, MS
ZIP 39402
Phone: (601) 268-5200
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PACIFIC PHYSICIAN SERVICES, LLC is a general practice in Hattiesburg, MS. PACIFIC PHYSICIAN SERVICES, LLC NPI is 1285653386. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 ASBURY CIRLCE
HATTIESBURG, MS
ZIP 39402
Phone: (601) 268-5200

The provider's authorized official is V Karen Flinn .
The authorized official title is Vp and has the following contact phone number (361) 579-0315.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00724395	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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