BRANDON HMA LLC NPI 1730399346

NPI Information

NPI: 1730399346
Provider Name: BRANDON HMA LLC

Doing Business As: CROSSGATES RIVER OAKS HOSPITAL

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
350 CROSSGATES BLVD
BRANDON, MS
ZIP 39042
Phone: (601) 824-8583
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BRANDON HMA LLC is a cardiovascular disease internal medicine in Brandon, MS. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. BRANDON HMA LLC NPI is 1730399346. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Crossgates River Oaks Hospital.

The provider's business location address is:

350 CROSSGATES BLVD
BRANDON, MS
ZIP 39042-601
Phone: (601) 824-8583

The provider's authorized official is Timothy Parry .
The authorized official title is Sr. Vp And General Counsel and has the following contact phone number (239) 598-3176.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 3/22/2010.

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	207RP1001X	Internal Medicine	Pulmonary Disease			No
2	207RC0000X	Internal Medicine	Cardiovascular Disease			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	06638595	MEDICAID	MISSISSIPPI
2	000019303	OTHER	MISSISSIPPI	BLUE CROSS

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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