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Organization

UHS OF PARKWOOD INC

Active
Other names
Parkwood Behavioral Health System
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDRA WALLACE (CFO)
(662) 893-7093
Entity
Organization

Contact information

Practice address
8135 GOODMAN RD, OLIVE BRANCH, MS 38654-2103
(662) 895-4900
Mailing address
8135 GOODMAN RD, OLIVE BRANCH, MS 38654-2103
(662) 895-4900

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
32316
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00220612
MS
05
220612
MS
Enumeration date
01/25/2006
Last updated
09/02/2010
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