Healthcare Provider Details

I. General information

NPI: 1578019154
Provider Name (Legal Business Name): NORTH MISSISSIPPI MEDICAL CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 06/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 DESERT COVE
SALTILLO MS
38866
US

IV. Provider business mailing address

108 DESERT COVE
SALTILLO MS
38866
US

V. Phone/Fax

Practice location:
  • Phone: 662-844-9885
  • Fax: 662-869-1595
Mailing address:
  • Phone: 662-844-9885
  • Fax: 662-869-1595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRUCE TOPPIN
Title or Position: SECRETARY
Credential:
Phone: 662-377-3000