Organization
UHS OF PARKWOOD INC
Active
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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