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MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC NPI 1114040607


NPI Information

NPI: 1114040607
Provider Name: MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC

Doing Business As: BAPTIST AFTER HOURS PEDIATRIC CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2946 LAYFAIR DRIVE SUITE 102
FLOWOOD, MS
ZIP 39232
Phone: (601) 292-4261
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MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC is a pediatrics in Flowood, MS. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC NPI is 1114040607. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Baptist After Hours Pediatric Clinic.

The provider's business location address is:

2946 LAYFAIR DRIVE SUITE 102
FLOWOOD, MS
ZIP 39232
Phone: (601) 292-4261
Fax: (601) 292-4262

The provider's authorized official is Elizabeth H Mullins .
The authorized official title is Director Of Clinic Administration and has the following contact phone number (601) 292-4261.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 4/8/2009.


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
1208000000XPediatricsYes

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
109014737MEDICAIDMISSISSIPPI

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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