Clinton Wellness Center Llc

LBN: Clinton Wellness Center Llc
Clinton Wellness Center Llc is an health care organization with primary practice located at 703 Highway 80 W Ste A , Clinton MS 39056-4107. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Clinton Wellness Center Llc can be contacted via phone (601) 488-6187, or through Duncan, Tricia B via phone (601) 878-6945.

Contact Information

Primary practice address
703 Highway 80 W Ste A Clinton MS 39056-4107
Phone: (601) 488-6187
Fax: (601) 878-2011
Website:
Map and Directions
Authorized official contact:
Name: Duncan, Tricia B BILLER
Phone: (601) 878-6945

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18239 Mississippi

Profile Details

NPI number 1386826279
LBN Legal business name Clinton Wellness Center Llc
DBA Doing business as
Authorized official Duncan, Tricia B BILLER
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2007
Last updated Jan 2nd, 2009 - about 15 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 1386826279 NPPES
Mississippi MEDICAID 07033864
Mississippi Other 587159423I

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