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General NPI Number Information
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NPI Number | 1902292410
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Entity Type | Organization
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Legal Business Name | NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
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Dates
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Enumeration Date | 04/10/2015
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1010 SOUTH HARPER ROAD
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City | CORINTH
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State | MS
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Zip | 38834
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Country | US
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Telephone | 662-396-4406
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Fax | 662-396-4482
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Provider Business Mailing Address
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Address Line | 15921 BOUNDARY DR PO BOX 92
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City | ASHLAND
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State | MS
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Zip | 38603-7740
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Country | US
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Telephone | 662-224-8951
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Fax | 662-224-6801
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM H STONE
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Credential |
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Telephone | 662-224-8951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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