DIBERVILLE MEDICAL SPA – NPI #1861766289
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

DIBERVILLE MEDICAL SPA is an AHC clinic located in D'IBERVILLE, MS. NPPES has assigned the NPI number 1861766289 to DIBERVILLE MEDICAL SPA on March 02, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIBERVILLE MEDICAL SPA below.

NPI Profile for
DIBERVILLE MEDICAL SPA

NPI Number
1861766289
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIBERVILLE MEDICAL SPA
Primary location
3661 SANGANI BLVD
SUITE C
D'IBERVILLE, MS 39540-8706
Phone: (228) 223-1927 Fax:
Mailing address
PO BOX 1248
OCEAN SPRINGS, MS 39566-1248
Phone: (228) 223-1927 Fax:
Organization Subpart
No
Authorized Official
RONNIE ALI
PRESIDENT
Phone: (228) 223-1927
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.