Mississippi Medicaid lookup
One provider matched this Medicaid ID.
Mississippi Medicaid ID 08200210 resolves to a single NPI record. Open the full profile for complete detail.
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AM
NPI · 1598913972 · Active
Advantage Medical Infusion LLC
Community/Retail Pharmacy · Hattiesburg, Mississippi
NPI
1598913972
Medicaid (MS)
08200210
Taxonomy
3336C0003X
State
Mississippi
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 08200210MS
Other
- 2145322· Issued by PK
Source: NPPES public registry.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.