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PONTOTOC HEALTH SERVICES INC. NPI 1164824280


NPI Information

NPI: 1164824280
Provider Name: PONTOTOC HEALTH SERVICES, INC.

Doing Business As: OXFORD MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
2161 SOUTH LAMAR BOULEVARD
OXFORD, MS
ZIP 38655
Phone: (662) 234-1791
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PONTOTOC HEALTH SERVICES, INC. is a rural health clinic center in Oxford, MS. PONTOTOC HEALTH SERVICES, INC. NPI is 1164824280. The provider is registered as an organization entity type.
The provider Is Doing Business As Oxford Medical Clinic.

The provider's business location address is:

2161 SOUTH LAMAR BOULEVARD
OXFORD, MS
ZIP 38655
Phone: (662) 234-1791

The provider's authorized official is Joseph A Reppert .
The authorized official title is Cfo and has the following contact phone number (662) 377-3978.

The enumeration date for this NPI number is 9/19/2014 and was last updated on 9/19/2014.


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
1261QR1300XClinic/CenterRural Health16091MISSISSIPPIYes

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
1251308MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI

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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