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NORTH MISSISSIPPI PRIMARY HEALTH CARE INC. NPI 1740676378


NPI Information

NPI: 1740676378
Provider Name: NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.

Doing Business As: TISHOMINGO HEALTH CARE ASSOCIATES

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1310 MAIN ST
TISHOMINGO, MS
ZIP 38873
Phone: (662) 471-9416
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NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. is a federally qualified health center (fqhc) clinic center in Tishomingo, MS. NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. NPI is 1740676378. The provider is registered as an organization entity type.
The provider Is Doing Business As Tishomingo Health Care Associates.

The provider's business location address is:

1310 MAIN ST
TISHOMINGO, MS
ZIP 38873
Phone: (662) 471-9416
Fax: (662) 438-7760

The provider's authorized official is Sherri R Rogers .
The authorized official title is Billing Manager and has the following contact phone number (662) 224-8951.

The enumeration date for this NPI number is 4/10/2015 and was last updated on 6/12/2023.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109011971MEDICAIDMISSISSIPPI

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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