CLEVELAND FOOT CLINIC INC NPI 1578661633

NPI Information

  • NPI: 1578661633
  • Provider Name: CLEVELAND FOOT CLINIC INC
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Organization
  • Address: 140 NORTH ST
    CLEVELAND, MS
    ZIP 38732
  • Phone: (662) 843-3668

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NPI Details

CLEVELAND FOOT CLINIC INC is a primary podiatric medicine podiatrist in Cleveland, MS. CLEVELAND FOOT CLINIC INC NPI is 1578661633. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

140 NORTH ST
CLEVELAND, MS
ZIP 38732-744
Phone: (662) 843-3668

The provider's authorized official is Linda C Hicks .
The authorized official title is Office Manager and has the following contact phone number (662) 843-3668.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 1/23/2008.

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
1213EP1101XPodiatristPrimary Podiatric Medicine80066MISSISSIPPIYes

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
1C02427MEDICARE PINMISSISSIPPI
209014929MEDICAIDMISSISSIPPI
30591360001MEDICARE NSCMISSISSIPPI
4T20871MEDICARE UPIN

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: 3/30/2025

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