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NEIGHBORHOOD HEALTHCARE PROVIDERS NPI 1700830494


NPI Information

NPI: 1700830494
Provider Name: NEIGHBORHOOD HEALTHCARE PROVIDERS
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 25D1053055

Address:
2503 GLENDALE AVE
HATTIESBURG, MS
ZIP 39401
Phone: (601) 582-5805
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NEIGHBORHOOD HEALTHCARE PROVIDERS is an internal medicine in Hattiesburg, MS. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NEIGHBORHOOD HEALTHCARE PROVIDERS NPI is 1700830494. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2503 GLENDALE AVE
HATTIESBURG, MS
ZIP 39401-073
Phone: (601) 582-5805
Fax: (601) 582-5806

The provider's authorized official is Akwasi A Amponsah .
The authorized official title is Ceo and has the following contact phone number (601) 582-5805.

The CLIA number assigned to this NPI record is 25D1053055 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 8/14/2013.


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
1207R00000XInternal Medicine14600MISSISSIPPINo
2207RC0200XInternal MedicineCritical Care Medicine14600MISSISSIPPINo
3207UN0901XNuclear MedicineNuclear Cardiology14600MISSISSIPPINo
42083P0901XPreventive MedicinePublic Health & General Preventive Medicine17488MISSISSIPPINo
5207R00000XInternal Medicine17488MISSISSIPPIYes

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
100125127MEDICAIDMISSISSIPPI
2110001970MEDICARE PINMISSISSIPPI
36785720001MEDICARE NSCMISSISSIPPI

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

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.