Organization
STATE OF MS UMC NEWBORN TRANSPORT
Active
Other names
THE UNIVERSITY OF NISS MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP RHODES MD (DIRECTOR OF NEWBORN TRANSPORT)
(601) 815-5207
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-5207
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-5207
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
00018960
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00018960
BLUE CROSS OF MS
MS
05
—
00050077
—
MS
Enumeration date
04/12/2007
Last updated
08/22/2020
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