NORTHEAST MISSISSIPPI HEALTH CARE INC. NPI 1386792992

NPI Information

NPI: 1386792992
Provider Name: NORTHEAST MISSISSIPPI HEALTH CARE, INC.

Doing Business As: MT. PLEASANT FAMILY HEALTH CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
154 MT. PLEASANT ROAD
MT. PLEASANT, MS
ZIP 38649
Phone: (662) 851-7939
Get Directions

NORTHEAST MISSISSIPPI HEALTH CARE, INC. is a federally qualified health center (fqhc) clinic center in Mt. Pleasant, MS. NORTHEAST MISSISSIPPI HEALTH CARE, INC. NPI is 1386792992. The provider is registered as an organization entity type.
The provider Is Doing Business As Mt. Pleasant Family Health Clinic.

The provider's business location address is:

154 MT. PLEASANT ROAD
MT. PLEASANT, MS
ZIP 38649
Phone: (662) 851-7939
Fax: (662) 851-9053

The provider's authorized official is Marjorie P. Mckinney .
The authorized official title is Executive Director and has the following contact phone number (662) 838-2163.

The CLIA number assigned to this NPI record is 25D0884513 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 11/17/2010.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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
1	251848	MEDICARE OSCAR/CERTIFICATION	MISSISSIPPI
2	9015490	MEDICAID	MISSISSIPPI

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

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