WARE FAMILY PRACTICE LLC NPI 1730829060

NPI Information

NPI: 1730829060
Provider Name: WARE FAMILY PRACTICE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 25D2261840

Address:
972 COLUMBIA AVE
PRENTISS, MS
ZIP 39474
Phone: (601) 792-5343
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WARE FAMILY PRACTICE LLC is a primary care clinic center in Prentiss, MS. WARE FAMILY PRACTICE LLC NPI is 1730829060. The provider is registered as an organization entity type.

The provider's business location address is:

972 COLUMBIA AVE
PRENTISS, MS
ZIP 39474-405
Phone: (601) 792-5343

The provider's authorized official is Ashley Kirby Ware .
The authorized official title is Owner and has the following contact phone number (601) 543-5859.

The CLIA number assigned to this NPI record is 25D2261840 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/1/2022 and was last updated on 8/8/2023.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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