North Mississippi Medical Center Inc in Tupelo - Psychologist

North Mississippi Medical Center Inc - NPI 1972608347

North Mississippi Medical Center Inc is a Psychologist in Tupelo, Mississippi. North Mississippi Medical Center Inc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for North Mississippi Medical Center Inc is 1972608347. The last update date is 2015-03-17.

North Mississippi Medical Center Inc's current location address is 450 E President Ave, Tupelo, Mississippi. You can contact this provider via phone number 6623774685 and fax number 6623772755. The mailing address for North Mississippi Medical Center Inc is 450 E President Ave, Tupelo, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization North Mississippi Medical Center Inc
Address 450 E President Ave, Tupelo, Mississippi
Phone Number 6623774685
Fax Number 6623772755
Sole Proprietor --
Credentials --

Authorized Official

Title or Position COO
Authorized Official Name Wages Gerald
Telephone Number 6623773161

NPI Number Detail

NPI Number 1972608347
Provider Enumeration Date 2006-09-13
Last Updated Date 2015-03-17

Provider Mailing Address Detail

Address 450 E President Ave
City Tupelo
State Mississippi (MS)
Post Code 388015599
Phone Number 6623774685
Fax Number 6623772755

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CA5810 MS RAILROAD MEDICARE
9015893 MS --
C02674 MS MEDICARE GROUP NUMBER
CJ3596 MS RAILROAD MEDICARE

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FAQs about North Mississippi Medical Center Inc

What is the North Mississippi Medical Center Inc's unique identification number?

The North Mississippi Medical Center Inc has been assigned the NPI (National Provider Identifier) Number 1972608347 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the North Mississippi Medical Center Inc located?

The North Mississippi Medical Center Inc is located at 450 E President Ave, Tupelo, MS 388015599.

What is the North Mississippi Medical Center Inc's specialty and taxonomy code?

The North Mississippi Medical Center Inc's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.

On what date did the North Mississippi Medical Center Inc receive the assignment of its 1972608347 from the Centers for Medicare & Medicaid Services?

The North Mississippi Medical Center Inc was issued its 1972608347 by the Centers for Medicare & Medicaid Services on 2006-09-13.

When was the North Mississippi Medical Center Inc's information last updated?

The North Mississippi Medical Center Inc's information was last updated on 2015-03-17.

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