CLINTON MEDICAL CENTER (NPI# 1245770445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245770445 |
| Entity Type | Organization |
| Organization Name | CLINTON MEDICAL CENTER |
| Practice Address |
604 Lexington Cv Byram MS 39272-3004 |
| Practice Telephone | 6012594471 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | DEWONA FLOWERS (NURSE PRACTITIONER) |
| Authorized Official Telephone | 6012594771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
901392 | MS | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CLINTON MEDICAL CENTER, INC. | 18 W Main St, Clinton, CT 06413 |
| Street Address |
604 LEXINGTON CV |
| City | BYRAM |
| State | MS |
| Zip Code | 39272-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174063374 | Dewona Flowers | Nurse Practitioner | 604 Lexington Cv, Byram, MS 39272-3004 | 2017-03-07 |
| 1972044048 | Dewona Flowers | Clinic/Center | 604 Lexington Cv, Byram, MS 39272-3004 | 2017-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893363 | Prestige Dental Care | Dentist | 7138 S Siwell Road, Byram, MS 39272 | 2020-05-28 |
| 1093204158 | Primary Family Medical Clinic | Nurse Practitioner | 100 Marker Place Dr. Ste D, Byram, MS 39272 | 2018-05-04 |
| 1457869190 | Lakisha Ann Mcmorris | Adult Companion | 300 Byram Drive, Apt 51d, Byram, MS 39272 | 2018-01-16 |
| 1639692908 | Quintin Todd Julius, Pllc | Dentist | 6745 S. Siwell Rd., Suite 210, Byram, MS 39272 | 2017-07-19 |
| 1134649395 | Helping Hands Service LLC | Home Health | 1402 Siwell Rd Suite 110, Byram, MS 39272 | 2017-06-20 |
| 1760916050 | Delivery Me, LLC | Non-emergency Medical Transport (VAN) | 5210 Brookleigh Drive, Byram, MS 39272 | 2017-04-13 |
| 1962893396 | Rebecca Holley | Speech-Language Pathologist | 7213 S Siwell Road, Byram, MS 39272 | 2015-02-06 |
| 1144665738 | Providence Healthcare of Ms | Nursing Care | 6735 I-55 South Frontage Road, Suite 2-a, Byram, MS 39272 | 2013-05-08 |
| 1568742146 | Deandre Monique Carr | Optometrist | 131 Handley Boulevard, Byram, MS 39272 | 2011-08-26 |
| 1063690022 | Physical Rehabilitation Management | Physical Therapist | 128 Byram Center Drive, Jackson, MS 39272 | 2008-02-01 |
| Find all providers in zip 39272 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972044048 | Dewona Flowers | Clinic/Center | 604 Lexington Cv, Byram, MS 39272-3004 | 2017-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407303050 | Jackson Vamc | Clinic/Center | 6522 Dogwood View Parkway, Suite F, Jackson, MS 39213-7858 | 2016-09-01 |
| 1841232097 | Jackson Vamc | Clinic/Center | 405 W Adams St, Kosciusko, MS 39090-3617 | 2006-06-12 |
| 1043250418 | Jackson Vamc | Clinic/Center | 1502 S Colorado St, Greenville, MS 38703-7219 | 2006-06-07 |
| 1669410288 | Jackson Vamc | Clinic/Center | 2103 13th St, Meridian, MS 39301-4045 | 2006-06-04 |
| 1528006152 | Jackson Vamc | Clinic/Center | 105 Northgate Rd, Suite 2, Natchez, MS 39120-9162 | 2006-06-04 |
| 1073552436 | Memphis Vamc | Clinic/Center | 1114 Commonwealth Blvd., Tupelo, MS 38804-9998 | 2006-06-04 |
| 1376598698 | Jackson Vamc | Clinic/Center | 5003 Hardy Street, Tower B Suite 402, Hattiesburg, MS 39402-1331 | 2006-05-24 |
| 1194778357 | Memphis Vamc | Clinic/Center | 1700 Crescent Meadows, Holly Springs, MS 38635-7414 | 2006-05-18 |
| 1295787364 | Jackson Vamc | Clinic/Center | 824 Alabama St, Columbus, MS 39702-5436 | 2006-05-17 |
| 1922496280 | Jackson Vamc | Clinic/Center | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2015-01-08 |
| 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.