WEAVER CLINIC LLC NPI 1366841066

NPI Information

  • NPI: 1366841066
  • Provider Name: WEAVER CLINIC, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 124 W COMMERCE ST
    HERNANDO, MS
    ZIP 38632
  • Phone: (901) 262-0185

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NPI Details

WEAVER CLINIC, LLC is a clinic center in Hernando, MS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WEAVER CLINIC, LLC NPI is 1366841066. The provider is registered as an organization entity type.

The provider's business location address is:

124 W COMMERCE ST
HERNANDO, MS
ZIP 38632-240
Phone: (901) 262-0185

The provider's authorized official is Beverly Pounders Weaver .
The authorized official title is Medical Supervisor and has the following contact phone number (901) 262-0185.

The enumeration date for this NPI number is 8/19/2014 and was last updated on 12/1/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterR629189MISSISSIPPIYes

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
100122952MEDICAIDMISSISSIPPI
2P34923MEDICARE UPINMISSISSIPPI
3500002994MEDICARE 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: 11/21/2025

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