Campbell Family Clinic
LBN: Clarksdale Hma Physican Management, Llc
Campbell Family Clinic is an health care organization with primary practice located at 580 Friars Point Rd , Clarksdale MS 38614-9734. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Clarksdale Hma Physican Management, Llc can be contacted via phone (662) 624-4316, or through Vance, Miller via phone (662) 624-8000.
Contact Information
Primary practice address
580 Friars Point Rd
Clarksdale MS 38614-9734
Phone: (662) 624-4316
Fax: (662) 621-1151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1063654721 |
|---|---|
| LBN Legal business name | Clarksdale Hma Physican Management, Llc |
| DBA Doing business as | Campbell Family Clinic |
| Authorized official | Vance, Miller |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 27th, 2009 |
| Last updated | Dec 23rd, 2013 - about 12 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 | 1063654721 | NPPES |
| Mississippi | MEDICAID | 03426211 |
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