Organization
RUSH MEDICAL FOUNDATION
Active
Other names
Ochsner Health Center- North Meridian
Organization subpart
No
Provider details
NPI number
Authorized official
DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
2800 N HILLS ST, MERIDIAN, MS 39305-2643
(601) 484-9906
(601) 484-6704
Mailing address
PO BOX 5208, MERIDIAN, MS 39302-5208
(601) 703-9393
(601) 703-3080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000586260
—
MS
Enumeration date
10/15/2020
Last updated
04/26/2023
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