Winston Medical Clinic Llc

LBN: Winston Medical Clinic Llc
Winston Medical Clinic Llc is an health care organization with primary practice located at 923 S Church Ave , 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) 773-3503, or through Fryery, Debbie J via phone (662) 446-1972.

Contact Information

Primary practice address
923 S Church Ave Louisville MS 39339
Phone: (662) 773-3503
Fax: (662) 446-1039
Website:
Map and Directions
Authorized official contact:
Name: Fryery, Debbie J
Phone: (662) 446-1972

Health care specialties

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

Profile Details

NPI number 1629417324
LBN Legal business name Winston Medical Clinic Llc
DBA Doing business as
Authorized official Fryery, Debbie J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2013
Last updated Jan 19th, 2017 - about 8 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 1629417324 NPPES
Mississippi MEDICAID 01689827

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