Organization
MS METHODIST HOSPITAL & REHABILITATION CENTER
Active
Other names
Methodist Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ARMSTRONG (EXEC VICE PRESIDENT)
(601) 981-2611
Entity
Organization
Contact information
Practice address
107 FAIRFIELD DR, HATTIESBURG, MS 39402-1681
(601) 264-0359
Mailing address
1350 E WOODROW WILSON AVE, JACKSON, MS 39216-5112
(601) 981-2611
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
43-278
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040292
—
MS
Enumeration date
02/02/2007
Last updated
05/04/2010
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