LENA FAMILY MEDICAL INC. NPI 1184120883

NPI Information

NPI: 1184120883
Provider Name: LENA FAMILY MEDICAL, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 25D2152751

Address:
1107 GRAND AVENUE
LENA, MS
ZIP 39094
Phone: (601) 654-3433
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LENA FAMILY MEDICAL, INC. is a primary care clinic center in Lena, MS. LENA FAMILY MEDICAL, INC. NPI is 1184120883. The provider is registered as an organization entity type.

The provider's business location address is:

1107 GRAND AVENUE
LENA, MS
ZIP 39094
Phone: (601) 654-3433
Fax: (601) 654-0117

The provider's authorized official is Rebecca Annette Johnston .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (601) 654-3433.

The CLIA number assigned to this NPI record is 25D2152751 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2018 and was last updated on 3/4/2021.

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			Yes

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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