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RIVER REGION HEALTH SYSTEM NPI 1679508683


NPI Information

NPI: 1679508683
Provider Name: RIVER REGION HEALTH SYSTEM
Classification: Urology - 208800000X
Entity Type: Organization
Address:
2100 HIGHWAY 61 N
VICKSBURG, MS
ZIP 39183
Phone: (601) 883-5000
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RIVER REGION HEALTH SYSTEM is an urology in Vicksburg, MS. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. RIVER REGION HEALTH SYSTEM NPI is 1679508683. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2100 HIGHWAY 61 N
VICKSBURG, MS
ZIP 39183-211
Phone: (601) 883-5000

The provider's authorized official is V Karen Flinn .
The authorized official title is Vp and has the following contact phone number (361) 579-0315.

The enumeration date for this NPI number is 7/11/2006 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
1208800000XUrologyYes
2207R00000XInternal MedicineX
3207Q00000XFamily MedicineX
4207X00000XOrthopaedic SurgeryX
52084N0400XPsychiatry & NeurologyNeurologyX
6208000000XPediatricsX
7208600000XSurgeryX
8207K00000XAllergy & ImmunologyX
9363L00000XNurse PractitionerX
10207RC0000XInternal MedicineCardiovascular DiseaseX
11207RG0100XInternal MedicineGastroenterologyX
12207V00000XObstetrics & GynecologyX
13207RP1001XInternal MedicinePulmonary DiseaseX

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
10125885MEDICAIDMISSISSIPPI

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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