NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. (NPI# 1063078079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063078079 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. |
| Practice Address |
2716 W Oxford Loop Ste 171 Oxford MS 38655-5722 |
| Mailing Address |
Po Box 92 Ashland MS 38603-0092 |
| Practice Telephone | 6622248951 |
| Practice Fax Number | 6622246801 |
| Mailing Telephone | 6622248951 |
| Mailing Fax Number | 6622246801 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | TAMMY G CHAPMAN (CFO) |
| Authorized Official Telephone | 6622248951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OXFORD HEALTH CARE ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376009407 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 16025 Boundary Drive, Ashland, MS 38603 | 2019-02-13 |
| 1902292410 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 3114b North Shiloh Road, Corinth, MS 38834 | 2015-04-10 |
| 1821092552 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2005-06-10 |
| 1972065829 | North Mississippi Primary Health Care, Inc. | Nurse Practitioner | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2019-04-01 |
| 1275980211 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 232 Starlyn Ave, New Albany, MS 38652-2428 | 2016-05-19 |
| 1083009450 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 208 N 1st St, Booneville, MS 38829-2718 | 2015-04-02 |
| 1376938746 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 531 Main St, Walnut, MS 38683-9349 | 2015-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. | 15921 W Boundary Drive, Ashland, MS 38603-7740 |
| Street Address |
2716 W OXFORD LOOP STE 171 |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538532528 | Leslie Dawn Sheffield | Nurse Practitioner | 2716 W Oxford Loop Ste 171, Oxford, MS 38655 | 2015-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1124661855 | Arcare | Clinic/Center | 2173 S Lamar Blvd, Oxford, MS 38655-5223 | 2019-10-25 |
| 1225400765 | Butler County Community Health Consortium, Inc. | Clinic/Center | 10 N Locust St, Suite A, Oxford, OH 45056-1192 | 2015-10-23 |
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| 1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 2019-08-14 |
| 1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
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| 1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
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| 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.