Provider Demographics
NPI:1366479610
Name:HEALTHCARE ENGINEERS
Entity Type:Organization
Organization Name:HEALTHCARE ENGINEERS
Other - Org Name:RICHARD HARTIG PRIMARY CARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:HUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MHS
Authorized Official - Phone:601-573-0386
Mailing Address - Street 1:154 OAKDALE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-9076
Mailing Address - Country:US
Mailing Address - Phone:601-573-0386
Mailing Address - Fax:601-856-8003
Practice Address - Street 1:111 W LEE ST
Practice Address - Street 2:
Practice Address - City:SARDIS
Practice Address - State:MS
Practice Address - Zip Code:38666-1124
Practice Address - Country:US
Practice Address - Phone:662-487-1064
Practice Address - Fax:662-487-1381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty