BRENTWOOD ACQUISITION INC NPI 1487638441

NPI Information

NPI: 1487638441
Provider Name: BRENTWOOD ACQUISITION INC
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 25D0966550

Address:
3531 LAKELAND DR
FLOWOOD, MS
ZIP 39232
Phone: (601) 936-2024
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BRENTWOOD ACQUISITION INC is a psychiatric hospital in Flowood, MS. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. BRENTWOOD ACQUISITION INC NPI is 1487638441. The provider is registered as an organization entity type.

The provider's business location address is:

3531 LAKELAND DR
FLOWOOD, MS
ZIP 39232-016
Phone: (601) 936-2024
Fax: (601) 936-7818

The provider's authorized official is Steve Filton .
The authorized official title is Sr Vp Cfo and has the following contact phone number (610) 768-3300.

The CLIA number assigned to this NPI record is 25D0966550 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 2/23/2011.

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	283Q00000X	Psychiatric Hospital		32-330	MISSISSIPPI	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	000020855	OTHER	MISSISSIPPI	BLUE CROSS PROVIDER NUMBE
2	254007	MEDICARE OSCAR/CERTIFICATION	MISSISSIPPI
3	00220625	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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