Provider Demographics
NPI:1548408180
Name:BE HEALTH
Entity Type:Organization
Organization Name:BE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BINION
Authorized Official - Suffix:
Authorized Official - Credentials:CFNP
Authorized Official - Phone:662-361-1315
Mailing Address - Street 1:410 RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:MS
Mailing Address - Zip Code:39341-2618
Mailing Address - Country:US
Mailing Address - Phone:662-361-1315
Mailing Address - Fax:
Practice Address - Street 1:410 RIDGE ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:MS
Practice Address - Zip Code:39341-2618
Practice Address - Country:US
Practice Address - Phone:662-361-1315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR740067261QH0100X
MSR683205261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1730148123OtherNPI
MS1316040264OtherNPI