Family Medicine Residency Center

LBN: North Mississippi Medical Center
Family Medicine Residency Center is an health care organization with primary practice located at 1665 S Green St , Tupelo MS 38804-6556. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. North Mississippi Medical Center can be contacted via phone (662) 377-2189, or through Wages, Gerald via phone (662) 377-3000.

Contact Information

Primary practice address
1665 S Green St Tupelo MS 38804-6556
Phone: (662) 377-2189
Fax: (662) 377-2263
Website:
Map and Directions
Authorized official contact:
Name: Wages, Gerald
Phone: (662) 377-3000

Health care specialties

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

Profile Details

NPI number 1285745885
LBN Legal business name North Mississippi Medical Center
DBA Doing business as Family Medicine Residency Center
Authorized official Wages, Gerald
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 11th, 2007 - about 17 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 1285745885 NPPES
Mississippi MEDICAID 09014041

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