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NPI Code Detail

MEDICARE: REGION 8 MH MR COMMISSION BRIDGES

MEDICARE: REGION 8 MH MR COMMISSION BRIDGES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1376816900
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGION 8 MH MR COMMISSION BRIDGES
Provider Business Mailing Address
First Line : PO BOX 88
Second Line :
City : BRANDON
State : MS
Zip : 39043-0088
Country : US
Telephone Number : 601-824-0342
Fax Number :
Provider Business Practice Location Address
First Line : 613 MARQUETTE RD
Second Line :
City : BRANDON
State : MS
Zip : 39042-3038
Country : US
Telephone Number : 601-824-0342
Fax Number : 601-824-0349
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : STEVE A OTTING
Credential :
Telephone Number : 601-824-0342
Provider Enumeration Date : 02/13/2012
Last Update Date : 06/27/2022

Similar Medicare Providers

1699296509 — DANIEL GERARD JEMISON PMHNP-BC
Practice Location Address:
613 MARQUETTE RD
BRANDON, MS
39042-3038
Practice Phone: 601-825-8800
Practice Fax:
1730114117 — DR. ERIC JERMAINE WARREN M.D.
Practice Location Address:
613 MARQUETTE RD
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39042-3038
Practice Phone: 601-824-0342
Practice Fax: 601-824-0349
1689766685 — CINDIE L MARTINY B.S.
Practice Location Address:
613 MARQUETTE RD
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39042-3038
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1598949463 — LISA THOMAS-PAM M.A.
Practice Location Address:
613 MARQUETTE RD
BRANDON, MS
39042-3038
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Practice Fax: 601-824-1681
1508131400 — KAYLEN N LANDRY LMSW
Practice Location Address:
613 MARQUETTE RD
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39042-3038
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1386919264 — CASEY A DITTUS LMSW
Practice Location Address:
613 MARQUETTE RD
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39042-3038
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Directions to “REGION 8 MH MR COMMISSION BRIDGES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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