Blue Mountain Family Medicine Clinic

LBN: Blue Mountain Family Medicine Clinic
Blue Mountain Family Medicine Clinic is an health care organization with primary practice located at 124 North Guyton , Blue Mountain MS 38610. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Blue Mountain Family Medicine Clinic can be contacted via phone (662) 685-4700, or through Barkley, Thomas Ford via phone (662) 685-4700.

Contact Information

Primary practice address
124 North Guyton Blue Mountain MS 38610
Phone: (662) 685-4700
Fax: (662) 685-9999
Website:
Map and Directions
Authorized official contact:
Name: Barkley, Thomas Ford Doctor of Medicine (MD)
Phone: (662) 685-4700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1235113069
LBN Legal business name Blue Mountain Family Medicine Clinic
DBA Doing business as
Authorized official Barkley, Thomas Ford Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2005
Last updated Nov 28th, 2007 - 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 1235113069 NPPES
Mississippi MEDICAID 09014529

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