Provider Demographics
NPI:1114383874
Name:NESHOBA PHYSICIANS BILLING SERVICE
Entity Type:Organization
Organization Name:NESHOBA PHYSICIANS BILLING SERVICE
Other - Org Name:NESHOBA COUNTY GENERAL HOSPITAL RADIOLOGY PRO FEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:HESTER
Authorized Official - Last Name:MCNAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-663-1233
Mailing Address - Street 1:1001 HOLLAND AVE
Mailing Address - Street 2:PO BOX 976
Mailing Address - City:PHILADELPHIA
Mailing Address - State:MS
Mailing Address - Zip Code:39350-2161
Mailing Address - Country:US
Mailing Address - Phone:601-663-1269
Mailing Address - Fax:601-663-1286
Practice Address - Street 1:1001 HOLLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:MS
Practice Address - Zip Code:39350-2161
Practice Address - Country:US
Practice Address - Phone:601-663-1269
Practice Address - Fax:601-663-1286
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NESHOBA COUNTY GENERAL HOSPITAL DBA NESHOBA PHYSICIANS BILLING SERVICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-12
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty