ONSITE HOUSE CALL CLINIC NPI 1922713544

NPI Information

NPI: 1922713544
Provider Name: ONSITE HOUSE CALL CLINIC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 25D2275569

Address:
40114 GRUBB SPRINGS RD
HAMILTON, MS
ZIP 39746
Phone: (662) 356-1511
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ONSITE HOUSE CALL CLINIC is a primary care nurse practitioner in Hamilton, MS. ONSITE HOUSE CALL CLINIC NPI is 1922713544. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

40114 GRUBB SPRINGS RD
HAMILTON, MS
ZIP 39746-616
Phone: (662) 356-1511
Fax: (662) 356-1711

The provider's authorized official is Heather Leigh Holloway .
The authorized official title is Director and has the following contact phone number (662) 801-2826.

The CLIA number assigned to this NPI record is 25D2275569 - other - house calls-temp testing with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2023 and was last updated on 2/5/2023.

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	363LP2300X	Nurse Practitioner	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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