Evergreen Family Medical Clinic Inc in Nettleton - Rural Health
Evergreen Family Medical Clinic Inc - NPI 1689860629
Evergreen Family Medical Clinic Inc is a Rural Health in Nettleton, Mississippi. Evergreen Family Medical Clinic Inc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Evergreen Family Medical Clinic Inc is 1689860629. The last update date is 2022-07-21.
Evergreen Family Medical Clinic Inc's current location address is 4929 Highway 371 S, Nettleton, Mississippi. You can contact this provider via phone number 6629639154 and fax number 6629639157. The mailing address for Evergreen Family Medical Clinic Inc is 4929 Highway 371 S, Nettleton, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Family Medical Clinic Inc |
|---|---|
| Address | 4929 Highway 371 S, Nettleton, Mississippi |
| Phone Number | 6629639154 |
| Fax Number | 6629639157 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFNP/OWNER |
|---|---|
| Authorized Official Name | Rushing Jeanesse Cynthia |
| Credentials | CFNP |
| Telephone Number | 6629639154 |
NPI Number Detail
| NPI Number | 1689860629 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 4929 Highway 371 S |
|---|---|
| City | Nettleton |
| State | Mississippi (MS) |
| Post Code | 388586901 |
| Phone Number | 6629639154 |
| Fax Number | 6629639157 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Evergreen Family Medical Clinic Inc by the Centers for Medicare & Medicaid Services?
The Evergreen Family Medical Clinic Inc has been issued the NPI (National Provider Identifier) 1689860629 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Evergreen Family Medical Clinic Inc is physically located?
The Evergreen Family Medical Clinic Inc is physically situated at the following address: 4929 Highway 371 S, Nettleton, MS, 388586901.
What is Evergreen Family Medical Clinic Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Evergreen Family Medical Clinic Inc is Rural Health, and the taxonomy code that classifies this field of practice is 261Qr1300X.
On what date did the Evergreen Family Medical Clinic Inc receive the assignment of its 1689860629 from the Centers for Medicare & Medicaid Services?
The Evergreen Family Medical Clinic Inc was issued its 1689860629 by the Centers for Medicare & Medicaid Services on 2007-09-24.
As of what date were the details pertaining to Evergreen Family Medical Clinic Inc last refreshed?
The information related to the Evergreen Family Medical Clinic Inc, including its address, specialty, and other relevant details, was last updated on 2022-07-21.