Organization
RUSH MEDICAL FOUNDATION
Active
Other names
Ochsner Health Center-Rush
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9265
(601) 703-3224
Mailing address
DEPT 3027 P O BOX 1000, MEMPHIS, TN 38148-3027
(601) 213-3010
(601) 213-3011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009016210
—
MS
Enumeration date
05/05/2015
Last updated
04/26/2023
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