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HENSON MEDICAL CLINIC INC. NPI 1336373240


NPI Information

NPI: 1336373240
Provider Name: HENSON MEDICAL CLINIC, INC.

Doing Business As: URGENT CARE -- LONG BEACH

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
200 W RAILROAD ST
104
LONG BEACH, MS
ZIP 39560
Phone: (228) 864-0622
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HENSON MEDICAL CLINIC, INC. is a family nurse practitioner in Long Beach, MS. HENSON MEDICAL CLINIC, INC. NPI is 1336373240. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Urgent Care -- Long Beach.

The provider's business location address is:

200 W RAILROAD ST
104
LONG BEACH, MS
ZIP 39560-517
Phone: (228) 864-0622
Fax: (228) 864-7958

The provider's authorized official is Wanda F. Henson .
The authorized official title is Executive Director and has the following contact phone number (228) 864-0622.

The enumeration date for this NPI number is 5/6/2009 and was last updated on 5/6/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR862256MISSISSIPPINo
2363LF0000XNurse PractitionerFamilyR518328MISSISSIPPIYes

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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