NURSEMED LLC NPI 1497820310

NPI Information

NPI: 1497820310
Provider Name: NURSEMED LLC

Doing Business As: NURSEMED 2

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

Specialization: Rural Health

Address:
1031 NORTHRIDGE RD
BALDWYN, MS
ZIP 38824
Phone: (662) 365-9305
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NURSEMED LLC is a rural health clinic center in Baldwyn, MS. NURSEMED LLC NPI is 1497820310. The provider is registered as an organization entity type.
The provider Is Doing Business As Nursemed 2.

The provider's business location address is:

1031 NORTHRIDGE RD
BALDWYN, MS
ZIP 38824-173
Phone: (662) 365-9305
Fax: (662) 365-9304

The provider's authorized official is Anita J Turner .
The authorized official title is Owner and has the following contact phone number (662) 365-9305.

The CLIA number assigned to this NPI record is 25D1013991 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 12/8/2017.

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	261QR1300X	Clinic/Center	Rural Health	R622176	MISSISSIPPI	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	06403005	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: 4/28/2024

NPI Synchronization or Removal

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