Holmes Family Medical Clinic

LBN: State Of Mississippi - University Of Mississippi Medical Center
Holmes Family Medical Clinic is an health care organization with primary practice located at 18295 Emory Road , West MS 39192-0000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. State Of Mississippi - University Of Mississippi Medical Center can be contacted via phone (662) 834-1321, or through Grimsley, Jeffrey via phone (601) 815-8732.

Contact Information

Primary practice address
18295 Emory Road West MS 39192-0000
Phone: (662) 834-1321
Fax: (601) 815-6301
Website:
Map and Directions
Authorized official contact:
Name: Grimsley, Jeffrey
Phone: (601) 815-8732

Health care specialties

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

Profile Details

NPI number 1194738393
LBN Legal business name State Of Mississippi - University Of Mississippi Medical Center
DBA Doing business as Holmes Family Medical Clinic
Authorized official Grimsley, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated May 8th, 2020 - about 5 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 1194738393 NPPES
Mississippi MEDICAID 09016279

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