Winston Medical Clinic Main Street

LBN: Winston Medical Clinic Llc
Winston Medical Clinic Main Street is an health care organization with primary practice located at 16569 W Main St , Louisville MS 39339. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Winston Medical Clinic Llc can be contacted via phone (662) 773-5704, or through Fryery, Debra J via phone (662) 446-1972.

Contact Information

Primary practice address
16569 W Main St Louisville MS 39339
Phone: (662) 773-5704
Fax: (662) 773-9463
Website:
Map and Directions
Authorized official contact:
Name: Fryery, Debra J
Phone: (662) 446-1972

Health care specialties

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

Profile Details

NPI number 1033598503
LBN Legal business name Winston Medical Clinic Llc
DBA Doing business as Winston Medical Clinic Main Street
Authorized official Fryery, Debra J
Entity Organization
Organization subpart 1 Yes
Enumeration date May 29th, 2015
Last updated Aug 9th, 2018 - about 7 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 1033598503 NPPES
Mississippi MEDICAID 03335534

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