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Medicl Facility ID: 4174639590987821715

Facility Business Name: MISSISSIPPI UROLOGY OUTPATIENT SURGERY CENTER LLC ( JACKSON, MS )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id4174639590987821715
Facility NameMISSISSIPPI UROLOGY OUTPATIENT SURGERY CENTER LLC
Address Line501 MARSHALL ST
CityJACKSON
StateMS
Zip39202
TypeHospital
NPI Number1548655053
Provider Id25C0001088