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GRENADA FAMILY MEDICINE CLINIC NPI 1700994738


NPI Information

NPI: 1700994738
Provider Name: GRENADA FAMILY MEDICINE CLINIC

Doing Business As: WINONA FAMILY MEDICINE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1300 SUNSET DR
SUITE F
GRENADA, MS
ZIP 38901
Phone: (662) 226-5747
Get Directions

GRENADA FAMILY MEDICINE CLINIC is a family medicine in Grenada, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRENADA FAMILY MEDICINE CLINIC NPI is 1700994738. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Winona Family Medicine Clinic.

The provider's business location address is:

1300 SUNSET DR
SUITE F
GRENADA, MS
ZIP 38901-086
Phone: (662) 226-5747
Fax: (662) 226-5622

The provider's authorized official is Ralph C Armstrong .
The authorized official title is President and has the following contact phone number (662) 226-5747.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 6/30/2010.


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
1207Q00000XFamily MedicineYes

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
11417975731OTHERMISSISSIPPIRALPH C ARMSTRONG, MD NPI
21528086857OTHERMISSISSIPPIRICHARD C. REID, MD NPI
3CH9466MEDICARE PINMISSISSIPPI
41467470799OTHERMISSISSIPPIKERRY TODD LEE, MD NPI
509013778MEDICAIDMISSISSIPPI
6C00907MEDICARE PINMISSISSIPPI
7CH9466OTHERMISSISSIPPIRAILROAD MEDICARE GROUP
8A12112009661880OTHERMISSISSIPPIPECOS
909014826MEDICAIDMISSISSIPPI

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

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