ELITE CARE FAMILY MEDICINE LLC NPI 1194128306

NPI Information

NPI: 1194128306
Provider Name: ELITE CARE FAMILY MEDICINE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 25D2085360

Address:
571 MITCHELL ST
STE C
GUNTOWN, MS
ZIP 38849
Phone: (662) 255-8324
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ELITE CARE FAMILY MEDICINE, LLC is a primary care clinic center in Guntown, MS. ELITE CARE FAMILY MEDICINE, LLC NPI is 1194128306. The provider is registered as an organization entity type.

The provider's business location address is:

571 MITCHELL ST
STE C
GUNTOWN, MS
ZIP 38849-500
Phone: (662) 255-8324
Fax: (662) 348-2772

The provider's authorized official is Kevin Miller .
The authorized official title is Co Owner and has the following contact phone number (662) 348-3342.

The CLIA number assigned to this NPI record is 25D2085360 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/1/2014 and was last updated on 4/19/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	342	MISSISSIPPI	Yes

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: 5/5/2024

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