Organization · Type 2 NPI

Vicksburg Healthcare LLC

Skilled Nursing Facility · Vicksburg, MS

NPI number 1568400604 Active

Practice location

2100 Highway 61 N
Vicksburg, MS 39183-8211

Call (601) 883-5175 Map

Fax (601) 883-5197

Mailing address

PO Box 1198, Dept 03-006
Vicksburg, MS 39181-1198

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

85 other providers at this address

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NPI record

NPI: 1568400604
Entity type: Organization (Type 2)
Issued: Jun 2, 2006
Last updated: Nov 6, 2007
Status: Active
Subpart: Yes of Vicksburg Healthcare LLC

Other names

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River Region Health System · doing business as

Authorized official

Laurie Holtsford
Director, Business Office Services
(615) 465-7466

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1568400604

Vicksburg Healthcare LLC's National Provider Identifier is 1568400604, issued on Jun 2, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Vicksburg, MS. The record was last updated on Nov 6, 2007.