COLUMBUS CARDIOVASCULAR CARE PLLC NPI 1063425486

NPI Information

  • NPI: 1063425486
  • Provider Name: COLUMBUS CARDIOVASCULAR CARE PLLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 255 BAPTIST BLVD
    SUITE 402
    COLUMBUS, MS
    ZIP 39705
  • Phone: (662) 240-1412

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NPI Details

COLUMBUS CARDIOVASCULAR CARE PLLC is a cardiovascular disease internal medicine in Columbus, 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. COLUMBUS CARDIOVASCULAR CARE PLLC NPI is 1063425486. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

255 BAPTIST BLVD
SUITE 402
COLUMBUS, MS
ZIP 39705-011
Phone: (662) 240-1412
Fax: (662) 240-1949

The provider's authorized official is Michael J Boland .
The authorized official title is Owner and has the following contact phone number (662) 240-1412.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 7/5/2008.

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
1363LF0000XNurse PractitionerFamilyNo
2207RC0000XInternal MedicineCardiovascular 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DF4818MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE
2=========OTHERTRICARE
3C03544MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
400115039MEDICAIDMISSISSIPPI

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: 3/30/2025

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