Water Valley Medical Clinic Llc in Water Valley - Clinic/center
Water Valley Medical Clinic Llc - NPI 1487605499
Water Valley Medical Clinic Llc is a Clinic/center in Water Valley, Mississippi. Water Valley Medical Clinic Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Water Valley Medical Clinic Llc is 1487605499. The last update date is 2020-08-22.
Water Valley Medical Clinic Llc's current location address is 411 Kimmons St, Water Valley, Mississippi. You can contact this provider via phone number 6624731140 and fax number 6624731138. The mailing address for Water Valley Medical Clinic Llc is 411 Kimmons St, Water Valley, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Water Valley Medical Clinic Llc |
|---|---|
| Address | 411 Kimmons St, Water Valley, Mississippi |
| Phone Number | 6624731140 |
| Fax Number | 6624731138 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Milicevic Bojan |
| Credentials | M.D. |
| Telephone Number | 6624731140 |
NPI Number Detail
| NPI Number | 1487605499 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 411 Kimmons St |
|---|---|
| City | Water Valley |
| State | Mississippi (MS) |
| Post Code | 389652404 |
| Phone Number | 6624731140 |
| Fax Number | 6624731138 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Post Comment/ Review Below
What is the unique identifier code issued to Water Valley Medical Clinic Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Water Valley Medical Clinic Llc has been assigned the NPI (National Provider Identifier) 1487605499. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Water Valley Medical Clinic Llc is geographically located?
The Water Valley Medical Clinic Llc is physically situated at the following location: 411 Kimmons St, Water Valley, MS, 389652404.
What is the Water Valley Medical Clinic Llc's specialty and taxonomy code?
The Water Valley Medical Clinic Llc's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1487605499 to Water Valley Medical Clinic Llc?
The Centers for Medicare & Medicaid Services assigned the 1487605499 to Water Valley Medical Clinic Llc on 2006-05-15.
As of what date was the information regarding Water Valley Medical Clinic Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Water Valley Medical Clinic Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.