Durant Primary Care Clinic

LBN: Durant Primary Care Clinic
Durant Primary Care Clinic is an health care organization with primary practice located at 638 Northwest Ave , Durant MS 39063-3337. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Durant Primary Care Clinic can be contacted via phone (662) 653-1002, or through Abboud, Elias via phone (662) 653-1002.

Contact Information

Primary practice address
638 Northwest Ave Durant MS 39063-3337
Phone: (662) 653-1002
Fax: (662) 653-1038
Website:
Map and Directions
Authorized official contact:
Name: Abboud, Elias Doctor of Medicine (MD)
Phone: (662) 653-1002

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1124100813
LBN Legal business name Durant Primary Care Clinic
DBA Doing business as
Authorized official Abboud, Elias Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Sep 29th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124100813 NPPES
Mississippi MEDICAID 01824892
Mississippi MEDICAID 09807861

Popular Providers