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ARCHIPOIMEN PLLC NPI 1881119618


NPI Information

NPI: 1881119618
Provider Name: ARCHIPOIMEN PLLC

Doing Business As: BAGWELL MEDICAL CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 25D1107141

Address:
4364 HIGHWAY 51 S
SENATOBIA, MS
ZIP 38668
Phone: (662) 560-5966
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ARCHIPOIMEN PLLC is a clinic center in Senatobia, MS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ARCHIPOIMEN PLLC NPI is 1881119618. The provider is registered as an organization entity type.
The provider Is Doing Business As Bagwell Medical Clinic.

The provider's business location address is:

4364 HIGHWAY 51 S
SENATOBIA, MS
ZIP 38668-534
Phone: (662) 560-5966
Fax: (662) 560-5969

The provider's authorized official is Michael Brian Bagwell .
The authorized official title is Sole Member and has the following contact phone number (662) 422-1798.

The CLIA number assigned to this NPI record is 25D1107141 - physician office with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 8/14/2017 and was last updated on 8/14/2017.


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
1261Q00000XClinic/CenterYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.