RUSH MEDICAL FOUNDATION NPI 1164773438

NPI Information

  • NPI: 1164773438
  • Provider Name: RUSH MEDICAL FOUNDATION
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: OCHSNER HEALTH CENTER-QUITMAN
  • CLIA Number: 25D0686314
  • Address: 603 S ARCHUSA AVE
    QUITMAN, MS
    ZIP 39355
  • Phone: (601) 776-2123

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NPI Details

RUSH MEDICAL FOUNDATION is a rural health clinic center in Quitman, MS. RUSH MEDICAL FOUNDATION NPI is 1164773438. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ochsner Health Center-quitman.

The provider's business location address is:

603 S ARCHUSA AVE
QUITMAN, MS
ZIP 39355-331
Phone: (601) 776-2123
Fax: (601) 776-6006

The provider's authorized official is Don Larkin Kennedy .
The authorized official title is Regional Ceo and has the following contact phone number (601) 703-9614.

The CLIA number assigned to this NPI record is 25D0686314 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2012 and was last updated on 4/26/2023.

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
1207Q00000XFamily MedicineNo
2363LF0000XNurse PractitionerFamilyNo
3261QR1300XClinic/CenterRural HealthYes

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
1009016210MEDICAIDMISSISSIPPI

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: 11/21/2025

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