Provider Demographics
NPI:1447324876
Name:HEALTH CARE ENGINEERS, LLC
Entity type:Organization
Organization Name:HEALTH CARE ENGINEERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:CORKERN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:601-573-0386
Mailing Address - Street 1:154 OAKDALE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-9076
Mailing Address - Country:US
Mailing Address - Phone:601-573-0386
Mailing Address - Fax:601-856-8003
Practice Address - Street 1:105 LEGION AVE
Practice Address - Street 2:
Practice Address - City:CALHOUN CITY
Practice Address - State:MS
Practice Address - Zip Code:38916
Practice Address - Country:US
Practice Address - Phone:662-628-8267
Practice Address - Fax:601-856-8003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-18
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05529360Medicaid
MS05529360Medicaid