RUSH MEDICAL FOUNDATION NPI 1811233950

NPI Information

NPI: 1811233950
Provider Name: RUSH MEDICAL FOUNDATION

Doing Business As: EC-HEALTHNET FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
905C S FRONTAGE RD
MERIDIAN, MS
ZIP 39301
Phone: (601) 482-4955
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RUSH MEDICAL FOUNDATION is a rural health clinic center in Meridian, MS. RUSH MEDICAL FOUNDATION NPI is 1811233950. The provider is registered as an organization entity type.
The provider Is Doing Business As Ec-healthnet Family Health Center.

The provider's business location address is:

905C S FRONTAGE RD
MERIDIAN, MS
ZIP 39301-113
Phone: (601) 482-4955
Fax: (601) 482-4957

The provider's authorized official is Don Larkin Kennedy .
The authorized official title is President and has the following contact phone number (601) 703-9614.

The enumeration date for this NPI number is 12/18/2012 and was last updated on 4/19/2022.

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	261QR1300X	Clinic/Center	Rural Health			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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	09014894	MEDICAID	MISSISSIPPI

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

NPI Synchronization or Removal

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