1811592454 NPI number — NORTH MISSISSIPPI VASCULAR CARE, LLC

Table of content: (NPI 1811592454)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811592454 NPI number — NORTH MISSISSIPPI VASCULAR CARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH MISSISSIPPI VASCULAR CARE, 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:
1811592454
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3001 PALM HARBOR BLVD STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PALM HARBOR
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34683-1930
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-474-0090
Provider Business Mailing Address Fax Number:
727-474-0055

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
425 HOSPITAL DR STE 4A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39705-1901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-368-1169
Provider Business Practice Location Address Fax Number:
662-570-1492
Provider Enumeration Date:
12/02/2020

Additional Information

Authorized Official

Authorized Official Last Name:
KING
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
662-368-1169

Provider Taxonomy Codes

  • Taxonomy code: 207RI0011X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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