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KEMPER CAH INC NPI 1275885378


NPI Information

NPI: 1275885378
Provider Name: KEMPER CAH, INC

Doing Business As: IMMEDIATE CARE FAMILY CLINIC

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

Specialization: Rural Health

CLIA Number: 25D1086611

Address:
1710 14TH ST
MERIDIAN, MS
ZIP 39301
Phone: (601) 703-1485
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KEMPER CAH, INC is a rural health clinic center in Meridian, MS. KEMPER CAH, INC NPI is 1275885378. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Immediate Care Family Clinic.

The provider's business location address is:

1710 14TH ST
MERIDIAN, MS
ZIP 39301-140
Phone: (601) 703-1485
Fax: (601) 703-1488

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

The CLIA number assigned to this NPI record is 25D1086611 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2012 and was last updated on 2/23/2018.


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
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes
3363LF0000XNurse PractitionerFamilyNo

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: 11/14/2023

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