DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC

MEDICARE: MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, 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
1207Q00000XFamily Medicine Physician

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 : 1841413432
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC
Provider Business Mailing Address
First Line : 1200 N STATE ST
Second Line : SUITE 440
City : JACKSON
State : MS
Zip : 39202-2001
Country : US
Telephone Number : 601-969-5230
Fax Number : 601-969-5233
Provider Business Practice Location Address
First Line : 1200 N STATE ST
Second Line : SUITE 440
City : JACKSON
State : MS
Zip : 39202-2001
Country : US
Telephone Number : 601-969-5230
Fax Number : 601-969-5233
Authorized Official
Title or Position : DIRECTOR OF CLINIC ADMINISTRATION
Name : ELIZABETH H MULLINS
Credential :
Telephone Number : 601-292-4261
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/09/2013

Similar Medicare Providers

1144214925 — DR. RAJESH G PATEL MD
Practice Location Address:
1200 N STATE ST , SUITE 480
JACKSON, MS
39202-2001
Practice Phone: 601-352-2273
Practice Fax: 601-714-3415
1588750178 — MICHAEL JUDE BORNE M.D.
Practice Location Address:
1200 N STATE ST , SUITE 300
JACKSON, MS
39202-2001
Practice Phone: 601-981-4091
Practice Fax: 601-981-5039
1831286699 — JOEL H HERRING M.D.
Practice Location Address:
1200 N STATE ST , SUITE 300
JACKSON, MS
39202-2001
Practice Phone: 601-981-4091
Practice Fax: 601-981-5039
1407942279 — JAMES D FLY M.D.
Practice Location Address:
1200 N STATE ST , SUITE 300
JACKSON, MS
39202-2001
Practice Phone: 601-981-4091
Practice Fax: 601-981-5039
1184701344 — DR. KEVIN A HEINTZELMAN DO
Practice Location Address:
1200 N STATE ST , SUITE 480
JACKSON, MS
39202-2001
Practice Phone: 601-352-2273
Practice Fax: 601-714-3415
1851448963 — DR. KIMBERLY PALMER RAY PHD, BCBA-D
Practice Location Address:
2001 N. WEST ST.
JACKSON, MS
39202-1037
Practice Phone: 601-709-5526
Practice Fax: 601-709-5527

Directions to “MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.