White Oak Family Medicine Clinic, Llc
LBN: White Oak Family Medicine Clinic, Llc
White Oak Family Medicine Clinic, Llc is an health care organization with primary practice located at 1190 S 18Th Street Ext , Oxford MS 38655-5378. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
White Oak Family Medicine Clinic, Llc can be contacted via phone (662) 236-1927, or through Richardson, Erik S via phone (662) 236-1927.
Contact Information
Primary practice address
1190 S 18Th Street Ext
Oxford MS 38655-5378
Phone: (662) 236-1927
Fax: (662) 236-3727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 17356 | Mississippi |
Profile Details
| NPI number | 1073759502 |
|---|---|
| LBN Legal business name | White Oak Family Medicine Clinic, Llc |
| DBA Doing business as | |
| Authorized official | Richardson, Erik S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 6th, 2009 |
| Last updated | Jan 11th, 2010 - about 14 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 | 1073759502 | NPPES |
| Mississippi | Other | 302G088746 | GROUP PTAN |
| Mississippi | Other | 302I088746 | GROUP PTAN |
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