Organization
ST DOMINIC MEDICAL ASSOCIATES LLC
Active
Parent organization
ST DOMINIC JACKSON MEMORIAL HOSPITAL
Other names
St Dominic Family Practice Brandon
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST DOMINIC JACKSON MEMORIAL HOSPITAL
Authorized official
JENNIFER SINCLAIR (PRESIDENT OF SDMA)
(601) 200-2000
Entity
Organization
Contact information
Practice address
1297 WEST GOVERNMENT STREET, BRANDON, MS 39042
(601) 200-4790
(601) 200-4855
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18818
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02751790
—
MS
Enumeration date
10/28/2013
Last updated
12/30/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us