Pratt Family Medical Clinic, Inc.

LBN: Pratt Family Medical Clinic, P.A.
Pratt Family Medical Clinic, Inc. is an health care organization with primary practice located at 121 Pratt Drive Suite 1 A, Corinth MS 38834. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Pratt Family Medical Clinic, P.A. can be contacted via phone (662) 286-0088, or through Pratt, Anita S. via phone (662) 286-0088.

Contact Information

Primary practice address
121 Pratt Drive Suite 1 A Corinth MS 38834
Phone: (662) 286-0088
Fax: (662) 286-0067
Website:
Map and Directions
Authorized official contact:
Name: Pratt, Anita S.
Phone: (662) 286-0088

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 18218 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11767 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R865946 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R865725 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R649279 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R582662 Mississippi

Profile Details

NPI number 1952323073
LBN Legal business name Pratt Family Medical Clinic, P.A.
DBA Doing business as Pratt Family Medical Clinic, Inc.
Authorized official Pratt, Anita S.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 23rd, 2015 - about 9 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 1952323073 NPPES
Mississippi MEDICAID 05206512
Mississippi Other DB9549
Mississippi Other DB9549
Mississippi Other 425-11-1019B

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