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MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC NPI 1508020397


NPI Information

NPI: 1508020397
Provider Name: MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC

Doing Business As: BAPTIST CARDIOLOGY CLINIC - JACKSON

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
501 MARSHALL ST
SUITE 101
JACKSON, MS
ZIP 39202
Phone: (601) 969-5105
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MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC is a cardiovascular disease internal medicine in Jackson, MS. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC NPI is 1508020397. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Baptist Cardiology Clinic - Jackson.

The provider's business location address is:

501 MARSHALL ST
SUITE 101
JACKSON, MS
ZIP 39202-651
Phone: (601) 969-5105
Fax: (601) 969-5106

The provider's authorized official is Elizabeth H Mullins .
The authorized official title is Director Of Clinic Administration and has the following contact phone number (601) 292-4261.

The enumeration date for this NPI number is 7/11/2008 and was last updated on 9/8/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========016OTHERMISSISSIPPITRICARE
2=========OTHERMISSISSIPPIBCBS
3=========OTHERMISSISSIPPIMHP
4C02783MEDICARE PIN

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: 4/28/2024

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