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CEDAR LAKE MEDICAL CENTER PA NPI 1508068230


NPI Information

NPI: 1508068230
Provider Name: CEDAR LAKE MEDICAL CENTER, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 25D0967332

Address:
1759 MEDICAL PARK DR
BILOXI, MS
ZIP 39532
Phone: (228) 385-0075
Get Directions

CEDAR LAKE MEDICAL CENTER, PA is a family medicine in Biloxi, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CEDAR LAKE MEDICAL CENTER, PA NPI is 1508068230. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1759 MEDICAL PARK DR
BILOXI, MS
ZIP 39532-132
Phone: (228) 385-0075
Fax: (228) 385-0073

The provider's authorized official is Mary Seyfarth .
The authorized official title is Manager and has the following contact phone number 22838500075.

The CLIA number assigned to this NPI record is 25D0967332 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 8/22/2020.


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
1207Q00000XFamily MedicineYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.