Nettleton Family Medical Clinic, Inc.
LBN: Nettleton Family Medical Clinic, Inc.
Nettleton Family Medical Clinic, Inc. is an health care organization with primary practice located at 1495 Maple Rd , Nettleton MS 38858-6026. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Nettleton Family Medical Clinic, Inc. can be contacted via phone (662) 963-9146, or through Justice, Andrew Curry via phone (662) 963-9146.
Contact Information
Primary practice address
1495 Maple Rd
Nettleton MS 38858-6026
Phone: (662) 963-9146
Fax: (662) 963-9186
Website:
Authorized official contact:
Name: Justice, Andrew Curry Certified Family Nurse Practitioner (CFNP)
Phone: (662) 963-9146
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | R682403 | Mississippi |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | R850606 | Mississippi |
Profile Details
| NPI number | 1003005125 |
|---|---|
| LBN Legal business name | Nettleton Family Medical Clinic, Inc. |
| DBA Doing business as | |
| Authorized official | Justice, Andrew Curry Certified Family Nurse Practitioner (CFNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 15th, 2007 |
| Last updated | Nov 13th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003005125 | NPPES |
| Mississippi | MEDICAID | 00328681 |
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