LENA FAMILY MEDICAL, INC. (NPI# 1184120883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184120883 |
| Entity Type | Organization |
| Organization Name | LENA FAMILY MEDICAL, INC. |
| Practice Address |
1107 Grand Avenue Lena MS 39094 |
| Mailing Address |
1107 Grand Avenue P.o. Box 295 Lena MS 39094 |
| Practice Telephone | 6016543433 |
| Practice Fax Number | 6016540117 |
| Mailing Telephone | 6016543433 |
| Mailing Fax Number | 6016540117 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-10-05 |
| Authorized Official Name | REBECCA ANNETTE BROWN (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 6016543433 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1107 GRAND AVENUE |
| City | LENA |
| State | MS |
| Zip Code | 39094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568012383 | Moore's Pharmacy Lena LLC | Pharmacy | 1212 Grand Avenue, Lena, MS 39094 | 2019-09-13 |
| 1306118641 | River Bend Services, Inc. | Driver | 3696 River Bend Road, Lena, MS 39094 | 2012-02-02 |
| 1154955003 | Brett Chapin Moore | Pharmacist | 1212 Grand Ave, Lena, MS 39094-9580 | 2020-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328031 | Sophie Ann Tootelian | Nurse's Aide | 8334 N Waddams Grove Rd, Lena, IL 61048-9750 | 2020-08-28 |
| 1780295253 | Midwest Modern Health Pllc | Chiropractor | 306 East Main Street, Lena, IL 61048 | 2020-08-10 |
| 1003450354 | Chelsea Hartzell | Student in an Organized Health Care Education/Training Program | 202 Sherwood Ln, Lena, IL 61048-9624 | 2019-10-30 |
| 1679136683 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 200 S Rosera St, Lena, WI 54139-9169 | 2019-04-16 |
| 1255812236 | Lana E. Haas | Occupational Therapist | 8824 W Range Rd, Lena, IL 61048-9677 | 2018-08-27 |
| 1336689322 | St. John's Lutheran Church, Inc. | Clinic/Center | 311 N. Lake Rd., Lena, IL 61048-8712 | 2017-02-24 |
| 1144684564 | Bradley Brunner | Chiropractor | 214 Rousch St, Lena, IL 61048-8822 | 2016-04-12 |
| 1902261571 | Stay At Homecare LLC | In Home Supportive Care | 150 S Rosera St, Lena, WI 54139-9192 | 2015-12-23 |
| 1134523657 | Julio Delgadillo | Registered Nurse | 214 North Schuyler Street, Lena, IL 61048-8712 | 2014-10-13 |
| 1114337938 | Leslie Filer Consulting LLC | Nurse Practitioner | 804 S Logan St, Lena, IL 61048-9244 | 2014-05-01 |
| Find all providers in LENA | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1134759780 | Family First Clinic of Hernando, Limited | Clinic/Center | 2416 Mount Pleasant Rd, Hernando, MS 38632-2001 | 2020-01-23 |
| 1720640899 | Home In The Woods Healthcare Clinic, LLC | Clinic/Center | 6572 County Road 514, Itta Bena, MS 38941-2746 | 2019-06-28 |
| 1366003436 | Blackwell's Family Medicine LLC | Clinic/Center | 107 Ball Ave, Tylertown, MS 39667-2101 | 2019-06-27 |
| 1710545488 | Primary and Behavioral Healthcare Services, Pa | Clinic/Center | 717 E. Fortification St., Jackson, MS 39202-2402 | 2019-05-29 |
| 1720559354 | Golden Years Geriatrics Inc. | Clinic/Center | 1233 County Road 108, New Albany, MS 38652-9787 | 2018-12-07 |
| 1316421373 | Children's International, LLC | Clinic/Center | 2003 Wildwood Rd, Picayune, MS 39466-2178 | 2018-09-17 |
| 1124505912 | Thaxton Family Medical Clinic LLC | Clinic/Center | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2018-07-24 |
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
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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.