| Merit Health Wesley | |
|
5001 Hardy St Hattiesburg MS 39402-1308 | |
| (601) 268-8000 | |
| (601) 268-5008 |
| Full Name | Merit Health Wesley |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5001 Hardy St, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Paula M Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merit Health Wesley 5001 Hardy St Hattiesburg MS 39402-1308 Ph: (601) 268-8000 | Merit Health Wesley 5001 Hardy St Hattiesburg MS 39402-1308 Ph: (601) 268-8000 |
| NPI Number | 1053776591 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 04/22/2021 |
| Certification Date | 04/22/2021 |
| Medicare PECOS PAC ID | 4587656103 |
|---|---|
| Medicare Enrollment ID | O20160217000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053776591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 12023 (Mississippi) | Primary |
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