Foundation Internal Medicine, P.C. in Southaven - Primary Care
Foundation Internal Medicine, P.C. - NPI 1255531885
Foundation Internal Medicine, P.C. is a Primary Care in Southaven, Mississippi. Foundation Internal Medicine, P.C. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Foundation Internal Medicine, P.C. is 1255531885. The last update date is 2007-07-22.
Foundation Internal Medicine, P.C.'s current location address is 401 Southcrest Cir, Southaven, Mississippi. You can contact this provider via phone number 6623499292 and fax number 6623498603. The mailing address for Foundation Internal Medicine, P.C. is 401 Southcrest Cir, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Foundation Internal Medicine, P.C. |
|---|---|
| Address | 401 Southcrest Cir, Southaven, Mississippi |
| Phone Number | 6623499292 |
| Fax Number | 6623498603 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Edmunds Osita Kenneth |
| Credentials | MD |
| Telephone Number | 6623499292 |
NPI Number Detail
| NPI Number | 1255531885 |
|---|---|
| Provider Enumeration Date | 2007-07-22 |
| Last Updated Date | 2007-07-22 |
Provider Mailing Address Detail
| Address | 401 Southcrest Cir |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386716726 |
| Phone Number | 6623499292 |
| Fax Number | 6623498603 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 14060 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9015617 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Foundation Internal Medicine, P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Foundation Internal Medicine, P.C. has been assigned the NPI (National Provider Identifier) 1255531885. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Foundation Internal Medicine, P.C. located?
The Foundation Internal Medicine, P.C. is located at 401 Southcrest Cir, Southaven, MS 386716726.
What is Foundation Internal Medicine, P.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Foundation Internal Medicine, P.C. is Primary Care, and the taxonomy classification code that categorizes this area of expertise is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255531885 to Foundation Internal Medicine, P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1255531885 to Foundation Internal Medicine, P.C. on 2007-07-22.
When was the information related to Foundation Internal Medicine, P.C. most recently updated or refreshed?
The details pertaining to the Foundation Internal Medicine, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-22.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN