UNIVERSITY PREVENTIVE MEDICINE NPI 1154541415

NPI Information

UNIVERSITY PREVENTIVE MEDICINE is a critical access general acute care hospital in Jackson, MS. The provider is definition to come. UNIVERSITY PREVENTIVE MEDICINE NPI is 1154541415. The provider is registered as an organization entity type.

The provider's business location address is:

2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-1925
Fax: (601) 984-1916

The provider's authorized official is Sara Lynn Stubbs .
The authorized official title is Supervisor Billing Collections and has the following contact phone number (601) 984-1925.

The enumeration date for this NPI number is 4/27/2007 and was last updated on 4/20/2008.

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:

Other Identifiers

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

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