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MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC NPI 1669695714


NPI Information

NPI: 1669695714
Provider Name: MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC

Doing Business As: BAPTIST MEDICAL CLINIC - DOGWOOD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 25D1051743

Address:
151 E METRO DR #103
FLOWOOD, MS
ZIP 39232
Phone: (601) 992-3288
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MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC is a family medicine in Flowood, 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. MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC NPI is 1669695714. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Baptist Medical Clinic - Dogwood.

The provider's business location address is:

151 E METRO DR #103
FLOWOOD, MS
ZIP 39232
Phone: (601) 992-3288
Fax: (601) 992-3188

The provider's authorized official is Elizabeth H Mullins .
The authorized official title is Director Of Clinic Administration and has the following contact phone number (601) 292-4261.

The CLIA number assigned to this NPI record is 25D1051743 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/22/2020.


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 MedicineYes

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
109014930MEDICAIDMISSISSIPPI

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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