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GREATER MERIDIAN HEALTH CLINIC INC. NPI 1649371477


NPI Information

NPI: 1649371477
Provider Name: GREATER MERIDIAN HEALTH CLINIC, INC.

Doing Business As: GMHC MOBILE UNIT

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2701 DAVIS ST
MERIDIAN, MS
ZIP 39301
Phone: (601) 693-0118
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GREATER MERIDIAN HEALTH CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Meridian, MS. GREATER MERIDIAN HEALTH CLINIC, INC. NPI is 1649371477. The provider is registered as an organization entity type.
The provider Is Doing Business As Gmhc Mobile Unit.

The provider's business location address is:

2701 DAVIS ST
MERIDIAN, MS
ZIP 39301-708
Phone: (601) 693-0118
Fax: (601) 553-8175

The provider's authorized official is Wilbert L. Jones .
The authorized official title is Ceo and has the following contact phone number (601) 693-0118.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 9/28/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1251903MEDICARE ID-TYPE UNSPECIFIED
200771261MEDICAIDMISSISSIPPI

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: 11/14/2023

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