Pontotoc Medical Clinic

LBN: North Mississippi Medical Clinics Inc
Pontotoc Medical Clinic is an health care organization with primary practice located at 345 Highway 15 N , Pontotoc MS 38863-1105. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. North Mississippi Medical Clinics Inc can be contacted via phone (662) 489-7430, or through Kimbrough, Gerald via phone (662) 489-7430.

Contact Information

Primary practice address
345 Highway 15 N Pontotoc MS 38863-1105
Phone: (662) 489-7430
Fax: (662) 489-7938
Website:
Map and Directions
Authorized official contact:
Name: Kimbrough, Gerald
Phone: (662) 489-7430

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1548297021
LBN Legal business name North Mississippi Medical Clinics Inc
DBA Doing business as Pontotoc Medical Clinic
Authorized official Kimbrough, Gerald
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2006
Last updated Aug 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548297021 NPPES
Mississippi MEDICAID 09014019

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