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SOUTHERN WOMEN'S HEALTH PLLC NPI 1548640642


NPI Information

NPI: 1548640642
Provider Name: SOUTHERN WOMEN'S HEALTH, PLLC

Doing Business As: WOMEN'S PAVILION OF SOUTH MISSISSIPPI

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
5003 HARDY ST
SUITE 350
HATTIESBURG, MS
ZIP 39402
Phone: (601) 450-9425
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SOUTHERN WOMEN'S HEALTH, PLLC is a rural health clinic center in Hattiesburg, MS. SOUTHERN WOMEN'S HEALTH, PLLC NPI is 1548640642. The provider is registered as an organization entity type.
The provider Is Doing Business As Women's Pavilion Of South Mississippi.

The provider's business location address is:

5003 HARDY ST
SUITE 350
HATTIESBURG, MS
ZIP 39402-319
Phone: (601) 450-9425

The provider's authorized official is Holley Johnson .
The authorized official title is Administrator and has the following contact phone number (601) 450-9425.

The enumeration date for this NPI number is 6/3/2015 and was last updated on 12/27/2023.


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
1261QR1300XClinic/CenterRural HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105439065MEDICAIDMISSISSIPPI

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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