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 |
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Address | 450 E President Ave, Tupelo, Mississippi |
Phone Number | 6623774685 |
Fax Number | 6623772755 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | COO |
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Authorized Official Name | Wages Gerald |
Telephone Number | 6623773161 |
NPI Number Detail
NPI Number | 1972608347 |
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Provider Enumeration Date | 2006-09-13 |
Last Updated Date | 2015-03-17 |
Provider Mailing Address Detail
Address | 450 E President Ave |
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City | Tupelo |
State | Mississippi (MS) |
Post Code | 388015599 |
Phone Number | 6623774685 |
Fax Number | 6623772755 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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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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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.