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ADVANCE MEDICAL HOUSE CALLS NPI 1104318286


NPI Information

NPI: 1104318286
Provider Name: ADVANCE MEDICAL HOUSE CALLS

Doing Business As: ADVANCE MEDICAL HOUSE CALLS & FAMILY CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
299 HIGHWAY 51 STE F1
RIDGELAND, MS
ZIP 39157
Phone: (601) 397-4079
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ADVANCE MEDICAL HOUSE CALLS is a family medicine in Ridgeland, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ADVANCE MEDICAL HOUSE CALLS NPI is 1104318286. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Advance Medical House Calls & Family Clinic.

The provider's business location address is:

299 HIGHWAY 51 STE F1
RIDGELAND, MS
ZIP 39157
Phone: (601) 397-4079
Fax: (601) 398-2149

The provider's authorized official is Tye Rollins .
The authorized official title is Manager and has the following contact phone number (601) 397-4079.

The enumeration date for this NPI number is 6/4/2018 and was last updated on 8/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERTAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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