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NPI Code Detail

MEDICARE: NORTH MISSISSIPPI MEDCIAL CENTER, INC.

MEDICARE: NORTH MISSISSIPPI MEDCIAL CENTER, 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
1333600000XPharmacy02700/02.0MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12507373OTHERMSNABP#
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295711281
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH MISSISSIPPI MEDCIAL CENTER, INC.
Provider Business Mailing Address
First Line : 738 S GLOSTER ST STE A
Second Line :
City : TUPELO
State : MS
Zip : 38801-4932
Country : US
Telephone Number : 662-377-4359
Fax Number : 662-377-3685
Provider Business Practice Location Address
First Line : 738 S GLOSTER ST STE A
Second Line :
City : TUPELO
State : MS
Zip : 38801-4932
Country : US
Telephone Number : 662-377-4359
Fax Number : 662-377-3685
Authorized Official
Title or Position : CORPORATE SECRETARY
Name : MR. BRUCE TOPPIN
Credential :
Telephone Number : 662-377-4229
Provider Enumeration Date : 12/21/2005
Last Update Date : 03/05/2026

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1467948687 — NORTH MISSISSIPPI MEDCIAL CENTER, INC.
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Directions to “NORTH MISSISSIPPI MEDCIAL CENTER, INC. ” Practice Location

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