Organization
ROH LLC
Active
Other names
Merit Health Women's Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
1026 N FLOWOOD DR, JACKSON, MS 39232-9532
(601) 933-6401
(601) 396-3086
Mailing address
1026 N FLOWOOD DR, JACKSON, MS 39232-9532
(601) 933-6401
(601) 936-3086
Taxonomy
Speciality
Code
Description
License number
State
282NW0100X
Women's Hospital
Primary
12300
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020225
BLUE CROSS
MS
05
—
0220466
—
MS
Enumeration date
05/28/2006
Last updated
04/21/2021
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