CCN: 251660 NPI: 1730419722 Organization

SPECIALTY HOSPICE-CENTRAL MS

1905 MISSION 66 # B , SUITE 1
VICKSBURG, MS 391803751

Contact Information

Phone 6016619752
Fax 6016616021
Enumeration Date 2010-01-13
Last Updated 2010-03-24

Taxonomies

Code: 251G00000X (Primary) License State: MS

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 99925

providerType 35

censusDivision 5

cbsaActualGeographicLocation 99925

providerType 35

censusDivision 5

cbsaActualGeographicLocation 99925

providerType 35

censusDivision 5

cbsaActualGeographicLocation 99925

providerType 35

censusDivision 5

cbsaActualGeographicLocation 99925

providerType 35

censusDivision 5

cbsaActualGeographicLocation 99925

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 25

providerType 35

specialPaymentIndicator

carrierCode 07302

localityCode 00