VICKSBURG CLINIC LLC NPI 1619355203

NPI Information

  • NPI: 1619355203
  • Provider Name: VICKSBURG CLINIC LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: ONE MEDICAL PLAZA - RHC
  • Address: 1 MEDICAL PLAZA DR
    VICKSBURG, MS
    ZIP 39180
  • Phone: (601) 883-3360

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NPI Details

VICKSBURG CLINIC LLC is a rural health clinic center in Vicksburg, MS. VICKSBURG CLINIC LLC NPI is 1619355203. The provider is registered as an organization entity type.
The provider Is Doing Business As One Medical Plaza - Rhc.

The provider's business location address is:

1 MEDICAL PLAZA DR
VICKSBURG, MS
ZIP 39180-187
Phone: (601) 883-3360
Fax: (601) 883-3364

The provider's authorized official is James P Wright .
The authorized official title is Senior Director Physican Business and has the following contact phone number (615) 465-7587.

The enumeration date for this NPI number is 5/14/2015 and was last updated on 5/18/2015.

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: 11/21/2025

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