Cleveland Medical Clinic Pllc
LBN: Cleveland Medical Clinic Pllc
Cleveland Medical Clinic Pllc is an health care organization with primary practice located at 810 E Sunflower Rd Suite 100A, Cleveland MS 38732-2800. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Cleveland Medical Clinic Pllc can be contacted via phone (662) 843-3606, or through Rogers, Tommicile Dean via phone (662) 843-3606.
Contact Information
Primary practice address
810 E Sunflower Rd Suite 100A
Cleveland MS 38732-2800
Phone: (662) 843-3606
Fax: (662) 846-1194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1134347958 |
|---|---|
| LBN Legal business name | Cleveland Medical Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Rogers, Tommicile Dean |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Feb 5th, 2008 - about 16 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 | 1134347958 | NPPES |
| Mississippi | MEDICAID | 08803095 |
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