NESHOBA URGENT CARE CLINIC


Address: 1003 Holland Ave, Suite 102, Philadelphia, MS 39350-2180
Phone: 6016631423

NESHOBA URGENT CARE CLINIC (NPI# 1033346044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033346044
Entity Type Organization
Organization Name NESHOBA URGENT CARE CLINIC
Practice Address 1003 Holland Ave
Suite 102
Philadelphia
MS 39350-2180
Practice Telephone 6016631423
Practice Fax Number 6016631474
Mailing Telephone 6016631423
Mailing Fax Number 6016631474
Enumeration Date 2009-06-17
Last Update Date 2009-06-17
Authorized Official Name MRS. CAL BRUMMUND (CFO)
Authorized Official Telephone 6016631423
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 1003 HOLLAND AVE
SUITE 102
City PHILADELPHIA
State MS
Zip Code 39350-2180

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871538652 Andrew Pace Dabbs Surgery 1003 Holland Ave, Suite 101, Philadelphia, MS 39350-2161 2006-06-17
1144665670 Neshoba County General Hospital Family Medicine 1003 Holland Ave, Suite 103, Philadelphia, MS 39350-2180 2013-05-10
1013142017 Neshoba Foot and Ankle Clinic Podiatrist 1003 Holland Ave, Suite 102, Philadelphia, MS 39350-2180 2009-05-19
1902095466 Derek Sloane Cannon Emergency Medicine 1003 Holland Ave, Suite 101, Philadelphia, MS 39350-2180 2007-10-22
1861578536 Surgery Clinic of Philadelphia General Practice 1003 Holland Ave, Suite 101, Philadelphia, MS 39350-2180 2006-10-27

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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

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1174096432 Temple University of The Commonwealth System of Higher Education Family Medicine 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 2019-01-09
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Competitor

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City PHILADELPHIA
Zip Code 39350

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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