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RIDGELAND FAMILY MEDICAL CTR NPI 1285818005


NPI Information

NPI: 1285818005
Provider Name: RIDGELAND FAMILY MEDICAL CTR
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
305 HIGHWAY 51
RIDGELAND, MS
ZIP 39157
Phone: (601) 856-9980
Get Directions

RIDGELAND FAMILY MEDICAL CTR 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. RIDGELAND FAMILY MEDICAL CTR NPI is 1285818005. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

305 HIGHWAY 51
RIDGELAND, MS
ZIP 39157-428
Phone: (601) 856-9980
Fax: (601) 856-9994

The provider's authorized official is Carolyn Durr .
The authorized official title is Office Manager and has the following contact phone number (601) 856-9980.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 12/29/2011.


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 Medicine10806MISSISSIPPINo
2261Q00000XClinic/Center12039MISSISSIPPINo
3207Q00000XFamily Medicine12039MISSISSIPPIYes

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
1512G700360MEDICARE PINMISSISSIPPI
2CB6301OTHERMISSISSIPPIRAILROAD MEDICARE

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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