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GREENVILLE FAMILY MEDICAL CENTER INC. NPI 1932197779


NPI Information

NPI: 1932197779
Provider Name: GREENVILLE FAMILY MEDICAL CENTER, INC.
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 25D0703798

Address:
1467 HIGHWAY 1 S
GREENVILLE, MS
ZIP 38701
Phone: (662) 335-1621
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GREENVILLE FAMILY MEDICAL CENTER, INC. is a preferred provider organization in Greenville, MS. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. GREENVILLE FAMILY MEDICAL CENTER, INC. NPI is 1932197779. The provider is registered as an organization entity type.

The provider's business location address is:

1467 HIGHWAY 1 S
GREENVILLE, MS
ZIP 38701-141
Phone: (662) 335-1621
Fax: (662) 335-8128

The provider's authorized official is Joe S Pulliam .
The authorized official title is President/physician and has the following contact phone number (662) 335-1621.

The CLIA number assigned to this NPI record is 25D0703798 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2005 and was last updated on 8/22/2020.


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
1305R00000XPreferred Provider OrganizationMISSISSIPPIYes

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

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