DIGESTIVE DISEASES CENTER OF HATTIESBURG LLC NPI 1598879009

NPI Information

NPI: 1598879009
Provider Name: DIGESTIVE DISEASES CENTER OF HATTIESBURG, LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 25D1027547

Address:
1000 TURTLE CREEK DR STE 4
HATTIESBURG, MS
ZIP 39402
Phone: (601) 268-5189
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DIGESTIVE DISEASES CENTER OF HATTIESBURG, LLC is an endoscopy clinic center in Hattiesburg, MS. DIGESTIVE DISEASES CENTER OF HATTIESBURG, LLC NPI is 1598879009. The provider is registered as an organization entity type.

The provider's business location address is:

1000 TURTLE CREEK DR STE 4
HATTIESBURG, MS
ZIP 39402-173
Phone: (601) 268-5189
Fax: (601) 268-5006

The provider's authorized official is Stephen E Buckley .
The authorized official title is Medical Director and has the following contact phone number (601) 268-5189.

The CLIA number assigned to this NPI record is 25D1027547 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 1/23/2023.

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	261QE0800X	Clinic/Center	Endoscopy			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	02358833	MEDICAID	MISSISSIPPI
2	P00138452	OTHER	MISSISSIPPI	RAILROAD MEDICARE

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: 5/5/2024

NPI Synchronization or Removal

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