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NPI Code Detail

MEDICARE: NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.

MEDICARE: NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972065829
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Provider Business Mailing Address
First Line : PO BOX 92
Second Line :
City : ASHLAND
State : MS
Zip : 38603-0092
Country : US
Telephone Number : 662-224-8951
Fax Number : 662-224-6801
Provider Business Practice Location Address
First Line : 15921 BOUNDARY DR
Second Line :
City : ASHLAND
State : MS
Zip : 38603-7740
Country : US
Telephone Number : 662-224-8951
Fax Number : 662-224-6801
Authorized Official
Title or Position : CFO
Name : TAMMY G CHAPMAN
Credential :
Telephone Number : 662-224-8951
Provider Enumeration Date : 04/01/2019
Last Update Date : 04/01/2019

Similar Medicare Providers

1821092552 — NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Practice Location Address:
15921 BOUNDARY DR
ASHLAND, MS
38603-7740
Practice Phone: 662-224-8951
Practice Fax: 662-224-6801
1558315408 — LEIGH JARVIS OROZCO FNP
Practice Location Address:
15921 BOUNDARY DR
ASHLAND, MS
38603-7740
Practice Phone: 662-224-5891
Practice Fax: 662-224-6801
1922047729 — DR. IRSHAD HUSSAIN MD
Practice Location Address:
15921 BOUNDARY DR
ASHLAND, MS
38603-7740
Practice Phone: 662-224-8951
Practice Fax: 662-224-6459
1356380067 — MRS. JOYCE L SMITH F.N.P
Practice Location Address:
15921 BOUNDARY DR
ASHLAND, MS
38603-7740
Practice Phone: 662-223-4011
Practice Fax: 662-223-4018
1023322765 — DR. DEREK ALAN CLEMMER D.M.D.
Practice Location Address:
15921 BOUNDARY DR
ASHLAND, MS
38603-7740
Practice Phone: 662-224-8951
Practice Fax:
1114232303 — CHRISTY WILLIAMS LCSW
Practice Location Address:
15921 BOUNDARY DR
ASHLAND, MS
38603-7740
Practice Phone: 662-224-8951
Practice Fax: 662-224-6459

Directions to “NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. ” Practice Location

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