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NPI Code Detail

MEDICARE: LEAKE COUNTY BOARD OF TRUSTEES

MEDICARE: LEAKE COUNTY BOARD OF TRUSTEES
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
1282N00000XGeneral Acute Care Hospital11-187MS
2282NR1301XRural Acute Care Hospital11-187MS
3282NC0060XCritical Access Hospital11-187MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831174804
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEAKE COUNTY BOARD OF TRUSTEES
Provider Business Mailing Address
First Line : 310 ELLIS ST
Second Line :
City : CARTHAGE
State : MS
Zip : 39051-3809
Country : US
Telephone Number : 601-267-1100
Fax Number : 601-267-1211
Provider Business Practice Location Address
First Line : 310 ELLIS ST
Second Line :
City : CARTHAGE
State : MS
Zip : 39051-3809
Country : US
Telephone Number : 601-267-1100
Fax Number : 601-267-1211
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. ROBERT DANIEL FAULKNER
Credential :
Telephone Number : 601-267-1432
Provider Enumeration Date : 12/13/2005
Last Update Date : 12/30/2008

Similar Medicare Providers

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Practice Location Address:
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Practice Fax:
1023187689 — MRS. TOMMIE K JONES C.F.N.P.
Practice Location Address:
310 ELLIS ST
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Practice Fax: 601-253-0176
1750456034 — LEAKE EXTENDED CARE FACILITY
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310 ELLIS ST
CARTHAGE, MS
39051-3809
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1194861260 — BAPTIST MEDICAL CENTER-LEAKE, INC.
Practice Location Address:
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1891832747 — DR. WILLIAM D LOGAN JR. MD
Practice Location Address:
310 ELLIS ST
CARTHAGE, MS
39051-3809
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1588940811 — BAPTIST-LEAKE EXTENDED CARE FACILITY
Practice Location Address:
310 ELLIS ST
CARTHAGE, MS
39051-3809
Practice Phone: 601-267-1432
Practice Fax: 601-267-1211

Directions to “LEAKE COUNTY BOARD OF TRUSTEES ” 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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