Vicksburg Clinic Llc in Vicksburg - Family Medicine
Vicksburg Clinic Llc - NPI 1659307791
Vicksburg Clinic Llc is a Family Medicine in Vicksburg, Mississippi. Vicksburg Clinic Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Vicksburg Clinic Llc is 1659307791. The last update date is 2008-11-25.
Vicksburg Clinic Llc's current location address is 1115 N Frontage Rd, Vicksburg, Mississippi. You can contact this provider via phone number 6016348790. The mailing address for Vicksburg Clinic Llc is 1115 N Frontage Rd, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vicksburg Clinic Llc |
|---|---|
| Address | 1115 N Frontage Rd, Vicksburg, Mississippi |
| Phone Number | 6016348790 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Brewer T Debbie |
| Telephone Number | 8778929813 |
NPI Number Detail
| NPI Number | 1659307791 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2008-11-25 |
Provider Mailing Address Detail
| Address | 1115 N Frontage Rd |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391805102 |
| Phone Number | 6016348790 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9015545 | MS | -- | |
| 9015549 | MS | -- | |
| 9015546 | MS | -- | |
| 9015547 | MS | -- | |
| 1111716 | LA | -- | |
| 720204 | MS | -- |
Post Comment/ Review Below
What is the Vicksburg Clinic Llc's 1659307791?
The Vicksburg Clinic Llc's NPI (National Provider Identifier) Number is 1659307791. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Vicksburg Clinic Llc is located?
The Vicksburg Clinic Llc is situated at the following address: 1115 N Frontage Rd, Vicksburg, MS, 391805102.
What is the Vicksburg Clinic Llc's area of specialization and corresponding taxonomy classification?
The Vicksburg Clinic Llc's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did Vicksburg Clinic Llc receive its 1659307791 assignment from the Centers for Medicare & Medicaid Services?
The Vicksburg Clinic Llc was assigned its 1659307791 on 2006-06-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Vicksburg Clinic Llc most recently updated or refreshed?
The details pertaining to the Vicksburg Clinic Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-11-25.
NPI Number: 1669475612
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
NPI Number: 1912900960
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL