CCN: 251567 NPI: 1891764890 Organization

ARDEN OF NORTH MISSISSIPPI (Oxford)

9035 E SANDIDGE RD STE 102
OLIVE BRANCH, MS 386543563

Contact Information

Phone 6628935662
Fax 6628935664
Enumeration Date 2006-03-14
Last Updated 2021-01-22

Taxonomies

Code: 251G00000X (Primary) License State: MS License: 68

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 99925

providerType 35

censusDivision 3

cbsaActualGeographicLocation 99925

providerType 35

censusDivision 3

cbsaActualGeographicLocation 32820

providerType 35

censusDivision 3

cbsaActualGeographicLocation 32820

providerType 35

censusDivision 3

cbsaActualGeographicLocation 32820

providerType 35

censusDivision 3

cbsaActualGeographicLocation 32820

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 99925

providerType 35

specialPaymentIndicator

carrierCode 07302

localityCode 00