Organization
MEDICAL FOUNDATION, INC.
Active
Other names
Ochsner Rush Medical Center Emergency Room Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-9260
(601) 703-4050
Mailing address
DEPT 3020, P.O. BOX 1000, MEMPHIS, TN 38148-3020
(601) 213-3010
(601) 213-3011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014812
—
MS
05
—
529702610
—
AL
Enumeration date
03/08/2007
Last updated
04/21/2023
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