KEMPER CAH INC. NPI 1912348616

NPI Information

KEMPER CAH, INC. is a rural health clinic center in De Kalb, MS. KEMPER CAH, INC. NPI is 1912348616. The provider is registered as an organization entity type.
The provider Is Doing Business As Rush Medical Clinic - Dekalb.

The provider's business location address is:

30 PONDEROSA AVE
DE KALB, MS
ZIP 39328-104
Phone: (601) 743-4626
Fax: (601) 743-2133

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 CLIA number assigned to this NPI record is 25D2030791 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2013 and was last updated on 5/10/2021.

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:

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