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OrganizationActive

Living Waters Community Medical Center Pllc

Specialist

LISA TILLMAN
NPI: 1144403122Pass Christian, Mississippi, 39571(228) 586-2455

About Living Waters Community Medical Center Pllc

Living Waters Community Medical Center Pllc is a healthcare organization providing Specialist services, registered under National Provider Identifier (NPI) number 1144403122. The authorized official for Living Waters Community Medical Center Pllc is LISA TILLMAN.

The organization is headquartered at 13472 VIDALIA RD, Pass Christian, Mississippi 39571. The main office can be reached at (228) 586-2455. Living Waters Community Medical Center Pllc has been NPI-registered since 2007.

Locations & Contact

Primary Location

Address
13472 VIDALIA RD
City
Pass Christian
State
Mississippi
ZIP
39571-8300
Phone
(228) 586-2455
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Authorized Official

Name
LISA TILLMAN

Mailing Address

Address
13472 VIDALIA RD
City
PASS CHRISTIAN
State
MS
ZIP
395718300

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Specialist
Classification
Specialist
Taxonomy Code
174400000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Living Waters Community Medical Center Pllc's NPI number?
Living Waters Community Medical Center Pllc's National Provider Identifier (NPI) is 1144403122. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Living Waters Community Medical Center Pllc specialize in?
Living Waters Community Medical Center Pllc specializes in Specialist.
Where is Living Waters Community Medical Center Pllc located?
Living Waters Community Medical Center Pllc practices at 13472 VIDALIA RD, Pass Christian, Mississippi 39571. You can reach them by phone at (228) 586-2455.
Does Living Waters Community Medical Center Pllc accept Medicare?
Based on available data, Living Waters Community Medical Center Pllc is not currently enrolled in the Medicare program.
Does Living Waters Community Medical Center Pllc offer telehealth or virtual visits?
Living Waters Community Medical Center Pllc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Living Waters Community Medical Center Pllc holds NPI 1144403122, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.