TREESAP CLINIC INC. NPI 1861673139

NPI Information

NPI: 1861673139
Provider Name: TREESAP CLINIC, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
28301 HIGHWAY 15
WALNUT, MS
ZIP 38683
Phone: (662) 223-0063
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TREESAP CLINIC, INC. is a primary care clinic center in Walnut, MS. TREESAP CLINIC, INC. NPI is 1861673139. The provider is registered as an organization entity type.

The provider's business location address is:

28301 HIGHWAY 15
WALNUT, MS
ZIP 38683-753
Phone: (662) 223-0063
Fax: (662) 223-0079

The provider's authorized official is James W. Taylor .
The authorized official title is Owner and has the following contact phone number (662) 223-0063.

The enumeration date for this NPI number is 11/15/2007 and was last updated on 11/20/2015.

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	261QP2300X	Clinic/Center	Primary Care	R732656	MISSISSIPPI	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
1	Q38528	MEDICARE UPIN	MISSISSIPPI
2	500001993	MEDICARE PIN
3	1265451991	OTHER	MISSISSIPPI	INDIVIDUAL NPI
4	03333061	MEDICAID	MISSISSIPPI

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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