Organization Active NPI

Southaven Sleep Clinic

  • Specialist
  • Southaven, MS
National Provider Identifier
1588089288
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTHAVEN SLEEP CLINIC
Doing business as
Opus Medical Management LLC
Practice address
7420 Guthrie Dr N
Suite 110
Southaven, MS 38671-5876
Phone
(662) 253-0352
Fax
(662) 253-0359
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Loretta Harrell
Title
Administrator
Phone
(901) 505-0181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7420 Guthrie Dr N
Suite 110
Southaven, MS 38671-5876

Mailing address

7420 Guthrie Dr N
Suite 110
Southaven, MS 38671-5876
Phone (662) 253-0352

Other names 1

  • Opus Medical Management LLC Doing business as

National Provider Directory

National Provider Directory

Locations

7420 Guthrie Dr N
Ste 110
Southaven, MS 38671
Phone (662) 536-0384

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1588089288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 GUTHRIE DR N",
            "address_2": "SUITE 110",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715876",
            "telephone_number": "662-253-0352",
            "fax_number": "662-253-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 GUTHRIE DR N",
            "address_2": "SUITE 110",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715876",
            "telephone_number": "662-253-0352",
            "fax_number": "662-253-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAVEN SLEEP CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-505-0181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opus Medical Management LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.