Eudora Medical Clinic

LBN: Eudora Medical Center Llc
Eudora Medical Clinic is an health care organization with primary practice located at 8995 W Commerce St Ste 4 , Hernando MS 38632-6812. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Eudora Medical Center Llc can be contacted via phone (662) 589-6290, or through Perkins, Amy M. via phone (662) 589-6290.

Contact Information

Primary practice address
8995 W Commerce St Ste 4 Hernando MS 38632-6812
Phone: (662) 589-6290
Fax: (662) 649-6085
Website:
Map and Directions
Authorized official contact:
Name: Perkins, Amy M. FNP-C
Phone: (662) 589-6290

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1255043493
LBN Legal business name Eudora Medical Center Llc
DBA Doing business as Eudora Medical Clinic
Authorized official Perkins, Amy M. FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2022
Last updated Mar 6th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255043493 NPPES
Mississippi MEDICAID 03003882
Mississippi Other 879057

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