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PINE GROVE BEHAVIORAL HEALTH
NPI 1699366542
Internal Medicine in Hattiesburg, MS

Active since February 02, 2021
300 FAIRWAY DR, HATTIESBURG, MS 39401(601) 329-1321 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2024, Feb 2, 2021 (2 updates tracked since 2021).

About Pine Grove Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE GROVE BEHAVIORAL HEALTH (NPI 1699366542) is a healthcare organization registered as an internal medicine in Hattiesburg, Mississippi and active in the NPI registry since February 2021. The organization maintains a secondary practice location in Hattiesburg and lists Jacob Parker, Registerd Nurse, as its authorized official.

NPPES Registry Identity

NPI1699366542
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHEALTH FACILITY LABORATORY
Location Address300 FAIRWAY DRHattiesburg, MS 39401-7715
Mailing Address300 Fairway DrHattiesburg, MS 39401-7715 · (601) 329-1321
Phone(601) 329-1321
Organization SubpartNo
Authorized OfficialJacob ParkerRegisterd Nurse · (601) 329-1321
Enumeration DateFebruary 2, 2021
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1699366542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPrivate VehicleTaxonomy 347C00000X
Also ListedTrainTaxonomy 347D00000X
300 FAIRWAY DR, Hattiesburg, MS 39401
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Other Names 2

Doing Business AsPine Grove Behavioral Health
Doing Business AsPmgroup

Secondary Practice Location 1

Location 1400 Forrest StHattiesburg, MS 39401-3455 · Phone (601) 545-6055

Other Identifiers 2

OtherMS0800375MS · Laboratory
OtherMS0800375MS · Healthcare Provider Employee

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PMGROUP
Clinical Medical Laboratory
300 FAIRWAY DR
HATTIESBURG, MS 39401
Forrest County (601) 329-1321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Health Facility Laboratory's NPI number?

The NPI number for Health Facility Laboratory is 1699366542. It was assigned to this organization in the NPPES registry on February 2, 2021. The provider is doing business as Pine Grove Behavioral Health and Pmgroup.

Where is Health Facility Laboratory located?

Health Facility Laboratory is located at 300 Fairway Dr, Hattiesburg, MS 39401. The listed phone number is (601) 329-1321.

What is Health Facility Laboratory's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Health Facility Laboratory was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.