Cleveland Foot Clinic Inc

LBN: Cleveland Foot Clinic Inc
Cleveland Foot Clinic Inc is an health care organization with primary practice located at 140 North St , Cleveland MS 38732-2744. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as the primary health care specialty. Cleveland Foot Clinic Inc can be contacted via phone (662) 843-3668, or through Hicks, Linda C via phone (662) 843-3668.

Contact Information

Primary practice address
140 North St Cleveland MS 38732-2744
Fax:
Website:
Authorized official contact:
Name: Hicks, Linda C

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 80066 Mississippi

Profile Details

NPI number 1578661633
LBN Legal business name Cleveland Foot Clinic Inc
DBA Doing business as
Authorized official Hicks, Linda C
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 23rd, 2008 - about 17 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 1578661633 NPPES
Mississippi MEDICAID 09014929

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