NPI Code Detail JSON Logo

1326178039 NPI number — WESLEY HEALTH SYSTEM LLC

NPI Number: 1326178039
Health Care Provider/Practitioner: WESLEY HEALTH SYSTEM LLC

Information about “1326178039” NPI (WESLEY HEALTH SYSTEM LLC) exists in 1326178039 in HTML format HTML  |  1326178039 in plain Text format TXT  |  1326178039 in PDF (Portable Document Format) PDF  |  1326178039 in an XML format XML  formats.

NPI Number : 1326178039 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326178039",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WESLEY HEALTH SYSTEM LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "239 METHODIST BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HATTIESBURG",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39402",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-268-5026",
    "MailingAddressFaxNumber": "601-268-8645",
    "FirstLinePracticeLocationAddress": "239 METHODIST BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HATTIESBURG",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39402",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-268-5026",
    "PracticeLocationAddressFaxNumber": "601-268-8645",
    "EnumerationDate": "03/06/2007",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SEAL",
    "AuthorizedOfficialFirstName": "RON",
    "AuthorizedOfficialMiddleName": "T",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "601-268-8101",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "C0376",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "1216B",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.