IMPACT HEALTH LLC NPI 1922961432

NPI Information

  • NPI: 1922961432
  • Provider Name: IMPACT HEALTH LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 2304 JACKSON AVE W STE 101
    OXFORD, MS
    ZIP 38655
  • Phone: (662) 404-7177

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NPI Details

IMPACT HEALTH LLC is a general practice in Oxford, MS. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee IMPACT HEALTH LLC NPI is 1922961432. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2304 JACKSON AVE W STE 101
OXFORD, MS
ZIP 38655-624
Phone: (662) 404-7177

The provider's authorized official is Dilip M Thakker .
The authorized official title is Preceptor and has the following contact phone number (518) 774-4623.

The enumeration date for this NPI number is 12/3/2025 and was last updated on 12/3/2025.

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
1208D00000XGeneral PracticeYes

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: 11/21/2025

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