Kilmichael Hospital, NPI 1518176445
Diagnostic Radiology Physician in Kilmichael, MS, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1518176445 |
| NPI Entity Type | Organization |
| Provider Name |
Kilmichael Hospital
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 301 Lamar Ave., Kilmichael, MS, US |
| Provider Mailing Address | Po Box 188, Kilmichael, MS, US, 397470188 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Calvin Dexter Johnson II |
| Official Position | ADMINISTRATOR |
| Phone | 662-262-4311 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Diagnostic Radiology Physician |
| Classification | |
| Group | |
| License No. | MS06391 |
| License State | MS |
| Description | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 12496 | MS | No | |||
| 16482 | MS | No | |||
| 000010138 | MS | No | |||
| 10138 | MS | No | |||
| R605859 | MS | No | |||
| R504696 | MS | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 03335377 | MS | MEDICAID | 05 |
| 19147 | MS | PROFESSIONAL COMPONENT | 01 |
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