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FAMILY PRACTICE CLINIC OF WATER VALLEY NPI 1245391135


NPI Information

NPI: 1245391135
Provider Name: FAMILY PRACTICE CLINIC OF WATER VALLEY
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
606 S MAIN ST
606 S MAIN ST
WATER VALLEY, MS
ZIP 38965
Phone: (662) 473-4050
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FAMILY PRACTICE CLINIC OF WATER VALLEY is a family medicine in Water Valley, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY PRACTICE CLINIC OF WATER VALLEY NPI is 1245391135. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

606 S MAIN ST
606 S MAIN ST
WATER VALLEY, MS
ZIP 38965
Phone: (662) 473-4050
Fax: (662) 473-4191

The provider's authorized official is Joe W Walber .
The authorized official title is Internal Medicine and has the following contact phone number (662) 473-4050.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 11/23/2007.


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 MedicineYes

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
1B31038MEDICARE UPIN
200119078MEDICAIDMISSISSIPPI
3C03268MEDICARE PINMISSISSIPPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.