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1245770445 NPI number — CLINTON MEDICAL CENTER

NPI Number: 1245770445
Health Care Provider/Practitioner: CLINTON MEDICAL CENTER

Information about “1245770445” NPI (CLINTON MEDICAL CENTER) exists in 1245770445 in HTML format HTML  |  1245770445 in plain Text format TXT  |  1245770445 in PDF (Portable Document Format) PDF  |  1245770445 in an XML format XML  formats.

NPI Number : 1245770445 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245770445",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CLINTON MEDICAL CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "604 LEXINGTON CV",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BYRAM",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39272-3004",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "604 LEXINGTON CV",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BYRAM",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39272-3004",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-259-4471",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/07/2017",
    "LastUpdateDate": "03/07/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FLOWERS",
    "AuthorizedOfficialFirstName": "DEWONA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "NURSE PRACTITIONER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "601-259-4771",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QV0200X",
        "TaxonomyName": "VA Clinic/Center",
        "LicenseNumber": "901392",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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