Provider Type Icon

FRANKLIN COUNTY MEMORIAL HOSPITAL NPI 1457657363


NPI Information

NPI: 1457657363
Provider Name: FRANKLIN COUNTY MEMORIAL HOSPITAL

Doing Business As: FAMILY MEDICAL GROUP OF BUDE

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

Specialization: Rural Health

CLIA Number: 25D0320000

Address:
136 MAIN ST N
BUDE, MS
ZIP 39630
Phone: (601) 384-8143
Get Directions

FRANKLIN COUNTY MEMORIAL HOSPITAL is a rural health clinic center in Bude, MS. FRANKLIN COUNTY MEMORIAL HOSPITAL NPI is 1457657363. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Medical Group Of Bude.

The provider's business location address is:

136 MAIN ST N
BUDE, MS
ZIP 39630-117
Phone: (601) 384-8143
Fax: (601) 384-3878

The provider's authorized official is Mike Boleware .
The authorized official title is Administrator and has the following contact phone number (601) 384-8126.

The CLIA number assigned to this NPI record is 25D0320000 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/10/2011 and was last updated on 6/9/2016.


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
1261QR1300XClinic/CenterRural HealthYes

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

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.