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BROOKS MEDICAL CLINIC NPI 1194215681


NPI Information

NPI: 1194215681
Provider Name: BROOKS MEDICAL CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 25D2154983

Address:
2113 SOUTH TATE STREET
CORINTH, MS
ZIP 38834
Phone: (662) 331-1497
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BROOKS MEDICAL CLINIC is a primary care clinic center in Corinth, MS. BROOKS MEDICAL CLINIC NPI is 1194215681. The provider is registered as an organization entity type.

The provider's business location address is:

2113 SOUTH TATE STREET
CORINTH, MS
ZIP 38834
Phone: (662) 331-1497
Fax: (662) 331-1495

The provider's authorized official is Scherun Michelle Brooks .
The authorized official title is Owner/operator Sole Mbr and has the following contact phone number (662) 331-1497.

The CLIA number assigned to this NPI record is 25D2154983 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/10/2018 and was last updated on 11/9/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.