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NORTH MISSISSIPPI VASCULAR CENTER PA NPI 1346424819


NPI Information

NPI: 1346424819
Provider Name: NORTH MISSISSIPPI VASCULAR CENTER, PA
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1040A S MADISON ST
TUPELO, MS
ZIP 38801
Phone: (662) 842-2170
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NORTH MISSISSIPPI VASCULAR CENTER, PA is a medical specialty clinic center in Tupelo, MS. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NORTH MISSISSIPPI VASCULAR CENTER, PA NPI is 1346424819. The provider is registered as an organization entity type.

The provider's business location address is:

1040A S MADISON ST
TUPELO, MS
ZIP 38801-300
Phone: (662) 842-2170
Fax: (662) 842-2399

The provider's authorized official is Frank A. Nichols .
The authorized official title is President and has the following contact phone number (662) 842-2170.

The enumeration date for this NPI number is 12/19/2007 and was last updated on 1/7/2008.


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
1261QM2500XClinic/CenterMedical Specialty07430MISSISSIPPIYes

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
1C48456MEDICARE UPINMISSISSIPPI

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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