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NPI Code Detail

MEDICARE: STERLING EMERGENCY SERVICES OF MISSISSIPPI, INC

MEDICARE: STERLING EMERGENCY SERVICES OF MISSISSIPPI, INC
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
1207P00000XEmergency Medicine Physician
2363A00000XPhysician Assistant
3363L00000XNurse Practitioner

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DD0383OTHERMSRAIL ROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1932167533
Entity Type Code : Organization
Provider Name (Legal Business Name) : STERLING EMERGENCY SERVICES OF MISSISSIPPI, INC
Provider Business Mailing Address
First Line : PO BOX 75473
Second Line :
City : BALTIMORE
State : MD
Zip : 21275-5473
Country : US
Telephone Number : 904-805-1300
Fax Number : 904-805-1302
Provider Business Practice Location Address
First Line : 1850 CHADWICK DR
Second Line :
City : JACKSON
State : MS
Zip : 39204-3404
Country : US
Telephone Number : 601-376-1000
Fax Number : 904-805-1302
Authorized Official
Title or Position : CEO/PRESIDENT
Name : EUGENE DAUCHERT
Credential :
Telephone Number : 919-768-4392
Provider Enumeration Date : 05/03/2006
Last Update Date : 09/11/2025

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Practice Location Address:
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1730161779 — MR. MARK C. BURRELL CRNA
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1114976677 — DR. DAVID A. DEAN D.O.
Practice Location Address:
1850 CHADWICK DR , CENTRAL MISSISSIPPI MEDICAL CENTER EMERGENCY DEPARTMENT
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1407803422 — MR. THOMAS BRADLEY COSGROVE CRNA
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Directions to “STERLING EMERGENCY SERVICES OF MISSISSIPPI, INC ” Practice Location

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