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Kidney Disease & Hypertension Centers, Pa
Medical Specialty Clinic/Center in Pascagoula, Mississippi
NPI 1568491728

Kidney Disease & Hypertension Centers, Pa is a Medical Specialty Clinic/Center based in Pascagoula, MS and is specialized in Medical Specialty. Kidney Disease & Hypertension Centers, Pa practices in Pascagoula, MS. The NPI Number for Kidney Disease & Hypertension Centers, Pa is 1568491728 and holds a License No. 09811 (Mississippi).

The current practice location address for Kidney Disease & Hypertension Centers, Pa is 2712 Criswell Ave, Pascagoula, MS and can be reached out via phone at 228-762-0713 and via fax at 228-762-0712.

Location: 2712 Criswell Ave, Pascagoula, MS, 39567-1143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568491728
Provider Name
Kidney Disease & Hypertension Centers, Pa
Credential
Provider Entity Type
Organization
Address
2712 Criswell Ave, Pascagoula, MS, 39567-1143
Phone Number
228-762-0713
Fax Number
228-762-0712
Provider Enumeration Date
07/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09014436 05 MS
institution
Provider Business Practice Location Address Details
Address
2712 Criswell Ave
City
Pascagoula
State
Mississippi
Zip
39567-1143
Phone Number
228-762-0713
Fax Number
228-762-0712
person
Provider Business Mailing Address Details
Address
2712 Criswell Ave
City
Pascagoula
State
Mississippi
Zip
39567-1143
Phone Number
228-762-0713
Fax Number
228-762-0712
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
09811 (Mississippi)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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