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Organization

KING'S DAUGHTERS MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT CHRISTENSEN (CHIEF EXECUTIVE OFFICER)
(601) 835-9488
Entity
Organization

Contact information

Practice address
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350
(601) 833-6011
(601) 833-5210
Mailing address
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350
(601) 833-6011
(601) 833-5210

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
16235
MS
341600000X
Ambulance

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000019008
PROF SERV KINGS DAUGHTERS
MS
05
00020008
MS
01
CC3386
MEDICARE RR-TRAVLERS
MS
Enumeration date
07/26/2005
Last updated
04/24/2023
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