Evergreen Family Medical Clinic Inc

LBN: Evergreen Family Medical Clinic Inc
Evergreen Family Medical Clinic Inc is an health care organization with primary practice located at 4929 Highway 371 S , Nettleton MS 38858-6901. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Evergreen Family Medical Clinic Inc can be contacted via phone (662) 963-9154, or through Rushing, Cynthia Jeanesse via phone (662) 963-9154.

Contact Information

Primary practice address
4929 Highway 371 S Nettleton MS 38858-6901
Fax: (662) 963-9157
Website:
Authorized official contact:
Name: Rushing, Cynthia Jeanesse Certified Family Nurse Practitioner (CFNP)

Health care specialties

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

Profile Details

NPI number 1689860629
LBN Legal business name Evergreen Family Medical Clinic Inc
DBA Doing business as
Authorized official Rushing, Cynthia Jeanesse Certified Family Nurse Practitioner (CFNP)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2007
Last updated Jul 21st, 2022 - about 3 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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