King'S Daughters Medical Center
Organization Active NPI General Acute Care Hospital · Brookhaven, MS
NPI 1366573263 · NPPES record last updated Mar 27, 2023
Key facts
- NPI
- 1366573263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 16235 (MS)
- Legal business name
- KING'S DAUGHTERS MEDICAL CENTER
- Practice address
- 427 Highway 51 N
Brookhaven, MS 39601-2350 - Phone
- (601) 833-6011
- Fax
- (601) 833-8742
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Scott Christensen
- Title
- Ceo
- Phone
- (601) 835-9488
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- King'S Daughters Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 16235 | MS | Yes |
Addresses
Primary practice location
427 Highway 51 N
Brookhaven, MS 39601-2350
Mailing address
427 Highway 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09016134 | Medicaid | MS |
Other providers in Brookhaven, MS
- King'S Daughters Medial Center
- King'S Daughters Medical Center
- King'S Daughters Medical Center
- King'S Daughters Medical Center
- King'S Daughters Medical Center
- King'S Daughters Medical Center
- King'S Daughters Medical Center
- King'S Daughters Medical Center
- King'S Daughters Medical Center
- King'S Daughters OB-GYN Clinic
All providers in Brookhaven, MS · General Acute Care Hospital in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.