RUNNELS PLASTIC SURGERY CENTER LLC NPI 1275780660

NPI Information

NPI: 1275780660
Provider Name: RUNNELS PLASTIC SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 25D1086365

Address:
1057 RIVER OAKS DRIVE
FLOWOOD, MS
ZIP 39232
Phone: (601) 939-9778
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RUNNELS PLASTIC SURGERY CENTER LLC is an ambulatory surgical clinic center in Flowood, MS. RUNNELS PLASTIC SURGERY CENTER LLC NPI is 1275780660. The provider is registered as an organization entity type.

The provider's business location address is:

1057 RIVER OAKS DRIVE
FLOWOOD, MS
ZIP 39232-595
Phone: (601) 939-9778

The provider's authorized official is Rudolph Scott Runnels .
The authorized official title is Owner and has the following contact phone number (601) 939-9778.

The CLIA number assigned to this NPI record is 25D1086365 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2008 and was last updated on 8/27/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	13960	MISSISSIPPI	Yes

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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