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NORTH MISSISSIPPI MEDICAL CENTER NPI 1811089980


NPI Information

NPI: 1811089980
Provider Name: NORTH MISSISSIPPI MEDICAL CENTER

Doing Business As: SLEEP LAB

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
830 S GLOSTER ST
TUPELO, MS
ZIP 38801
Phone: (662) 377-4685
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NORTH MISSISSIPPI MEDICAL CENTER is a pulmonary disease internal medicine in Tupelo, MS. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NORTH MISSISSIPPI MEDICAL CENTER NPI is 1811089980. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sleep Lab.

The provider's business location address is:

830 S GLOSTER ST
TUPELO, MS
ZIP 38801-934
Phone: (662) 377-4685
Fax: (662) 377-2755

The provider's authorized official is Gerald Wages .
The authorized official title is Coo and has the following contact phone number (662) 377-3000.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/3/2007.


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
1207RP1001XInternal MedicinePulmonary DiseaseYes

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
109420762MEDICAIDMISSISSIPPI
2C03168OTHERMISSISSIPPIMEDICARE GROUP NUMBER

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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