East-End Family Medical Clinic, Llc

LBN: East-End Family Medical Clinic, Llc
East-End Family Medical Clinic, Llc 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 Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. East-End Family Medical Clinic, Llc can be contacted via phone (662) 545-4674, or through Shepard, Cassandra Latasha via phone (662) 721-8036.

Contact Information

Primary practice address
140 North St Cleveland MS 38732-2744
Phone: (662) 545-4674
Fax: (662) 545-4715
Website:
Map and Directions
Authorized official contact:
Name: Shepard, Cassandra Latasha DNP, FNP-BC, COHC
Phone: (662) 721-8036

Health care specialties

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

Profile Details

NPI number 1780450619
LBN Legal business name East-End Family Medical Clinic, Llc
DBA Doing business as
Authorized official Shepard, Cassandra Latasha DNP, FNP-BC, COHC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2023
Last updated Jan 17th, 2024 - about last year

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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