Water Valley Rural Health Paul Odom Md in Water Valley - Rural Health
Water Valley Rural Health Paul Odom Md - NPI 1912070277
Water Valley Rural Health Paul Odom Md is a Rural Health in Water Valley, Mississippi. Water Valley Rural Health Paul Odom Md practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Water Valley Rural Health Paul Odom Md is 1912070277. The last update date is 2020-08-22.
Water Valley Rural Health Paul Odom Md's current location address is Po Box 725, Water Valley, Mississippi. You can contact this provider via phone number 6624731311 and fax number 6624732489. The mailing address for Water Valley Rural Health Paul Odom Md is Po Box 725, Water Valley, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Water Valley Rural Health Paul Odom Md |
|---|---|
| Address | Po Box 725, Water Valley, Mississippi |
| Phone Number | 6624731311 |
| Fax Number | 6624732489 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Odom Leroy Paul |
| Credentials | MD |
| Telephone Number | 6624731311 |
NPI Number Detail
| NPI Number | 1912070277 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 725 |
|---|---|
| City | Water Valley |
| State | Mississippi (MS) |
| Post Code | 38965 |
| Phone Number | 6624731311 |
| Fax Number | 6624732489 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9013597 | MS | -- | |
| 253848 | MEDICARE RIVERBEND |
Post Comment/ Review Below
What is the Water Valley Rural Health Paul Odom Md's unique identification number?
The Water Valley Rural Health Paul Odom Md has been assigned the NPI (National Provider Identifier) Number 1912070277 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Water Valley Rural Health Paul Odom Md?
The Water Valley Rural Health Paul Odom Md is physically situated at Po Box 725, in the city of Water Valley, state of MS, with the postal code 38965.
What is Water Valley Rural Health Paul Odom Md's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Water Valley Rural Health Paul Odom Md's specialized field of practice is Rural Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr1300X.
On what date did Water Valley Rural Health Paul Odom Md receive its 1912070277 assignment from the Centers for Medicare & Medicaid Services?
The Water Valley Rural Health Paul Odom Md was assigned its 1912070277 on 2006-11-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Water Valley Rural Health Paul Odom Md most recently updated or revised?
The details related to Water Valley Rural Health Paul Odom Md, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.