Provider Demographics
NPI:1790094936
Name:NATCHEZ MEDICAL FOUNDATION
Entity Type:Organization
Organization Name:NATCHEZ MEDICAL FOUNDATION
Other - Org Name:NATCHEZ REGIONAL CLINIC OBGYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:H
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:866-914-6361
Mailing Address - Street 1:46 SGT PRENTISS DR
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-4792
Mailing Address - Country:US
Mailing Address - Phone:866-914-6361
Mailing Address - Fax:225-644-6368
Practice Address - Street 1:46 SGT PRENTISS DR
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-4792
Practice Address - Country:US
Practice Address - Phone:866-914-6361
Practice Address - Fax:225-644-6368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty