Organization
PHYSICIANS AND SURGEONS HOSPITAL GROUP
Active
Other names
Tri Lakes Medical Center Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCE BRUMMETT (COO)
(662) 563-5611
Entity
Organization
Contact information
Practice address
303 MEDICAL CENTER DR, BATESVILLE, MS 38606-8608
(662) 563-5611
Mailing address
303 MEDICAL CENTER DR, BATESVILLE, MS 38606-8608
(662) 563-5611
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
13-287
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00855504
—
MS
05
—
09013323
—
MS
Enumeration date
08/05/2007
Last updated
08/12/2008
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