NORTHEAST MISSISSIPPI HEALTH CARE INC NPI 1447665385

NPI Information

NORTHEAST MISSISSIPPI HEALTH CARE, INC is a federally qualified health center (fqhc) clinic center in Southaven, MS. NORTHEAST MISSISSIPPI HEALTH CARE, INC NPI is 1447665385. The provider is registered as an organization entity type.
The provider Is Doing Business As Desoto Community Health Center.

The provider's business location address is:

7535 AIRWAYS BLVD
SOUTHAVEN, MS
ZIP 38671-834
Phone: (662) 349-6220

The provider's authorized official is Marjorie 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 25D2076139 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/30/2014 and was last updated on 6/30/2014.

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:

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.