Leake Memorial Medical Clinic Walnut Grove in Walnut Grove - Rural
Leake Memorial Medical Clinic Walnut Grove - NPI 1053576819
Leake Memorial Medical Clinic Walnut Grove is a Rural in Walnut Grove, Mississippi. Leake Memorial Medical Clinic Walnut Grove practices all healthcare services and medical treatments related to Rural. The NPI Number for Leake Memorial Medical Clinic Walnut Grove is 1053576819. The last update date is 2008-07-22.
Leake Memorial Medical Clinic Walnut Grove's current location address is Po Box 367, Walnut Grove, Mississippi. You can contact this provider via phone number 6012671400 and fax number 6012539464. The mailing address for Leake Memorial Medical Clinic Walnut Grove is Po Box 367, Walnut Grove, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Leake Memorial Medical Clinic Walnut Grove |
|---|---|
| Address | Po Box 367, Walnut Grove, Mississippi |
| Phone Number | 6012671400 |
| Fax Number | 6012539464 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Estep Kristi |
| Telephone Number | 6012671400 |
NPI Number Detail
| NPI Number | 1053576819 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | Po Box 367 |
|---|---|
| City | Walnut Grove |
| State | Mississippi (MS) |
| Post Code | 391890367 |
| Phone Number | 6012671400 |
| Fax Number | 6012539464 |
Provider's Primary Taxonomy Detail
| Speciality | Rural |
|---|---|
| Taxonomy | 282Nr1301X |
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Definition: Provides comprehensive inpatient medical and surgical care in rural areas. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5874018 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Leake Memorial Medical Clinic Walnut Grove by the Centers for Medicare & Medicaid Services?
The Leake Memorial Medical Clinic Walnut Grove has been assigned the NPI (National Provider Identifier) 1053576819 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Leake Memorial Medical Clinic Walnut Grove located?
The Leake Memorial Medical Clinic Walnut Grove is located at Po Box 367, Walnut Grove, MS 391890367.
What is the area of specialization for Leake Memorial Medical Clinic Walnut Grove, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Leake Memorial Medical Clinic Walnut Grove is Rural, and the corresponding taxonomy code that categorizes this area of expertise is 282Nr1301X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053576819 to Leake Memorial Medical Clinic Walnut Grove?
The Centers for Medicare & Medicaid Services originally issued the 1053576819 to Leake Memorial Medical Clinic Walnut Grove on 2008-07-22.
When was the information related to Leake Memorial Medical Clinic Walnut Grove most recently updated or refreshed?
The details pertaining to the Leake Memorial Medical Clinic Walnut Grove, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-22.