BOLIVAR PHYSICIAN PRACTICES LLC NPI 1205489689

NPI Information

NPI: 1205489689
Provider Name: BOLIVAR PHYSICIAN PRACTICES LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
512 LEVEE ST
ROSEDALE, MS
ZIP 38769
Phone: (662) 759-6806
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BOLIVAR PHYSICIAN PRACTICES LLC is a rural health clinic center in Rosedale, MS. BOLIVAR PHYSICIAN PRACTICES LLC NPI is 1205489689. The provider is registered as an organization entity type.

The provider's business location address is:

512 LEVEE ST
ROSEDALE, MS
ZIP 38769-507
Phone: (662) 759-6806
Fax: (662) 759-6771

The provider's authorized official is Kathy Teague .
The authorized official title is Secretary and has the following contact phone number (615) 920-7000.

The enumeration date for this NPI number is 7/24/2019 and was last updated on 7/24/2019.

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	261QR1300X	Clinic/Center	Rural Health			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

NPI Synchronization or Removal

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