SINGING RIVER RADIOLOGY GROUP PA NPI 1396762209

NPI Information

NPI: 1396762209
Provider Name: SINGING RIVER RADIOLOGY GROUP, PA
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2809 DENNY AVE
PASCAGOULA, MS
ZIP 39581
Phone: (228) 762-1353
Get Directions

SINGING RIVER RADIOLOGY GROUP, PA is a diagnostic radiology radiology in Pascagoula, MS. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SINGING RIVER RADIOLOGY GROUP, PA NPI is 1396762209. The provider is registered as an organization entity type.

The provider's business location address is:

2809 DENNY AVE
PASCAGOULA, MS
ZIP 39581-301
Phone: (228) 762-1353

The provider's authorized official is Lujean Trumble .
The authorized official title is Business Manager and has the following contact phone number (228) 762-1353.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 6/22/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			No
2	2085R0202X	Radiology	Diagnostic Radiology			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	CE6046	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD
2	C00486	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
3	000020543	MEDICAID	ALABAMA
4	09014278	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: 5/5/2024

NPI Synchronization or Removal

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