Acute Care Family Medical Clinic Of Verona
LBN: East Main Family Medical Clinic Llc
Acute Care Family Medical Clinic Of Verona is an health care organization with primary practice located at 1424 E Main St , Tupelo MS 38804-2956. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty.
East Main Family Medical Clinic Llc can be contacted via phone (662) 350-3550, or through Rodgers, Rodney Brian via phone (662) 350-3550.
Contact Information
Primary practice address
1424 E Main St
Tupelo MS 38804-2956
Phone: (662) 350-3550
Fax: (662) 842-3061
Website:
Authorized official contact:
Name: Rodgers, Rodney Brian Family Nurse Practitioner (FNP)
Phone: (662) 350-3550
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R853214 | Mississippi |
Profile Details
| NPI number | 1003300815 |
|---|---|
| LBN Legal business name | East Main Family Medical Clinic Llc |
| DBA Doing business as | Acute Care Family Medical Clinic Of Verona |
| Authorized official | Rodgers, Rodney Brian Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2018 |
| Last updated | Sep 8th, 2020 - about 5 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 | 1003300815 | NPPES |
| Mississippi | MEDICAID | 1003300815 | |
| Mississippi | Other | 1003300815 |
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East Main Family Medical Clinic Llc
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