Rankin Primary Care Clinic, Pa in Brandon - Internal Medicine

Rankin Primary Care Clinic, Pa - NPI 1467625665

Rankin Primary Care Clinic, Pa is a Internal Medicine in Brandon, Mississippi. Rankin Primary Care Clinic, Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Rankin Primary Care Clinic, Pa is 1467625665. The last update date is 2008-04-08.

Rankin Primary Care Clinic, Pa's current location address is Po Box 1959, Brandon, Mississippi. You can contact this provider via phone number 6018241491 and fax number 6018259504. The mailing address for Rankin Primary Care Clinic, Pa is Po Box 1959, Brandon, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Rankin Primary Care Clinic, Pa
Address Po Box 1959, Brandon, Mississippi
Phone Number 6018241491
Fax Number 6018259504
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Ellingson L Thomas
Credentials MD
Telephone Number 6018241491

NPI Number Detail

NPI Number 1467625665
Provider Enumeration Date 2008-04-08
Last Updated Date 2008-04-08

Provider Mailing Address Detail

Address Po Box 1959
City Brandon
State Mississippi (MS)
Post Code 390431959
Phone Number 6018241491
Fax Number 6018259504

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 16492
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9015199 MS --

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FAQs about Rankin Primary Care Clinic, Pa

What is the unique 10-digit identification code assigned to Rankin Primary Care Clinic, Pa by the Centers for Medicare & Medicaid Services?

The Rankin Primary Care Clinic, Pa has been issued the NPI (National Provider Identifier) 1467625665, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Rankin Primary Care Clinic, Pa's facilities are situated?

The facilities of Rankin Primary Care Clinic, Pa are physically located at the following address: Po Box 1959, Brandon, MS, 390431959.

What is Rankin Primary Care Clinic, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Rankin Primary Care Clinic, Pa's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did the Rankin Primary Care Clinic, Pa receive its 1467625665 assignment from the Centers for Medicare & Medicaid Services?

The Rankin Primary Care Clinic, Pa was assigned its 1467625665 by the Centers for Medicare & Medicaid Services on 2008-04-08.

As of what date were the details related to Rankin Primary Care Clinic, Pa most recently updated or revised?

The information pertaining to Rankin Primary Care Clinic, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-08.

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