West Tupelo Medical Clinic
LBN: North Mississippi Medical Clinics Inc
West Tupelo Medical Clinic is an health care organization with primary practice located at 65 S Thomas St , Tupelo MS 38801-4352. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
North Mississippi Medical Clinics Inc can be contacted via phone (662) 844-9376, or through Kimbrough, Gerald via phone (662) 377-4685.
Contact Information
Primary practice address
65 S Thomas St
Tupelo MS 38801-4352
Phone: (662) 844-9376
Fax: (662) 844-4326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1588768667 |
|---|---|
| LBN Legal business name | North Mississippi Medical Clinics Inc |
| DBA Doing business as | West Tupelo Medical Clinic |
| Authorized official | Kimbrough, Gerald |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1588768667 | NPPES |
| Mississippi | MEDICAID | 09014728 |
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