The Rainbow Children'S Clinic

LBN: The Rainbow Children'S Clinic
The Rainbow Children'S Clinic is an health care organization with primary practice located at 730 E Fifteenth St , Yazoo City MS 39194-2706. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. The Rainbow Children'S Clinic can be contacted via phone (662) 751-8566, or through Travis, Portia F via phone (662) 751-8566.

Contact Information

Primary practice address
730 E Fifteenth St Yazoo City MS 39194-2706
Phone: (662) 751-8566
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Travis, Portia F Certified Family Nurse Practitioner (CFNP)
Phone: (662) 751-8566

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X R800172 Mississippi

Profile Details

NPI number 1033370580
LBN Legal business name The Rainbow Children'S Clinic
DBA Doing business as
Authorized official Travis, Portia F Certified Family Nurse Practitioner (CFNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2008
Last updated Jun 18th, 2008 - about 18 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 1033370580 NPPES
Mississippi MEDICAID 08227546

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