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NPI Code Detail

MEDICARE: NORTH MISSISSIPPI MEDICAL CENTER, INC

MEDICARE: NORTH MISSISSIPPI MEDICAL 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
12086S0129XVascular Surgery Physician24402MS

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 : 1396226791
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH MISSISSIPPI MEDICAL CENTER, INC
Provider Business Mailing Address
First Line : 808 VARSITY DR
Second Line :
City : TUPELO
State : MS
Zip : 38801-4613
Country : US
Telephone Number : 662-377-3204
Fax Number : 662-377-2057
Provider Business Practice Location Address
First Line : 616 ALCORN DR
Second Line :
City : CORINTH
State : MS
Zip : 38834-9393
Country : US
Telephone Number : 662-377-7170
Fax Number :
Authorized Official
Title or Position : CORPORATE SECRETARY
Name : BRUCE TOPPIN
Credential :
Telephone Number : 662-377-4229
Provider Enumeration Date : 08/23/2018
Last Update Date : 01/22/2025

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Directions to “NORTH MISSISSIPPI MEDICAL CENTER, INC ” Practice Location

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