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ST. DOMINIC HOSPITAL MEDICINE LLC NPI 1104362292


NPI Information

NPI: 1104362292
Provider Name: ST. DOMINIC HOSPITAL MEDICINE LLC
Classification: Hospitalist - 208M00000X
Entity Type: Organization

CLIA Number: 25D2194932

Address:
969 LAKELAND DR
JACKSON, MS
ZIP 39216
Phone: (601) 200-4644
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ST. DOMINIC HOSPITAL MEDICINE LLC is a hospitalist in Jackson, MS. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. ST. DOMINIC HOSPITAL MEDICINE LLC NPI is 1104362292. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

969 LAKELAND DR
JACKSON, MS
ZIP 39216-606
Phone: (601) 200-4644
Fax: (601) 200-4645

The provider's authorized official is Jennifer Sinclair .
The authorized official title is President Of Sdma and has the following contact phone number (601) 200-6955.

The CLIA number assigned to this NPI record is 25D2194932 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2017 and was last updated on 9/19/2017.


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
1208M00000XHospitalistYes

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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