1780127845 NPI number — JOURNEYPURE MISSISSIPPI MEDICAL GROUP LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780127845 NPI number — JOURNEYPURE MISSISSIPPI MEDICAL GROUP LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOURNEYPURE MISSISSIPPI MEDICAL GROUP LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780127845
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/16/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8829 CENTRE ST STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTHAVEN
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38671-2610
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-536-6542
Provider Business Mailing Address Fax Number:
662-314-9689

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8829 CENTRE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTHAVEN
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38671-2610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-536-6542
Provider Business Practice Location Address Fax Number:
662-314-9689
Provider Enumeration Date:
11/22/2016

Additional Information

Authorized Official

Authorized Official Last Name:
COOPER
Authorized Official First Name:
KIM
Authorized Official Middle Name:
Authorized Official Title or Position:
HUMAN RESOURCES
Authorized Official Telephone Number:
662-536-6542

Provider Taxonomy Codes

  • Taxonomy code: 103TA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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