NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. (NPI# 1275980211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275980211 |
Entity Type | Organization |
Organization Name | NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. |
Other Organization Name | NEW ALBANY HEALTH CARE ASSOCIATES |
Practice Address |
232 Starlyn Ave New Albany MS 38652-2428 |
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 | 2016-05-19 |
Last Update Date | 2016-05-19 |
Authorized Official Name | JAMES D NUNNALLY (CEO) |
Authorized Official Telephone | 6622248951 |
Is Organization Subpart | Y |
Parent Organization Name | NORTH MISSISSIPPI PRIMARY HEALTH CARE INC. |
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 |
---|---|
NEW ALBANY 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 |
1063078079 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 2716 W Oxford Loop Ste 171, Oxford, MS 38655-5722 | 2019-05-15 |
1972065829 | North Mississippi Primary Health Care, Inc. | Nurse Practitioner | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2019-04-01 |
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 |
232 STARLYN AVE |
City | NEW ALBANY |
State | MS |
Zip Code | 38652-2428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336118843 | Guy R. Farmer Jr. | Emergency Medicine | 232 Starlyn Ave, New Albany, MS 38652-2428 | 2006-03-16 |
1649441569 | Baptist Memorial Health Services Inc of Mississippi | Surgery | 232 Starlyn Ave, New Albany, MS 38652-2428 | 2008-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
Find all providers in zip 38652 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871193722 | Coastal Family Health Center, Inc | Clinic/Center | 12424 Highway 57, Vancleave, MS 39565-8608 | 2020-10-29 |
1992305445 | Coastal Family Health Center, Inc | Clinic/Center | 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 | 2020-10-26 |
1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
1033755343 | Access Family Health Services, Inc. | Clinic/Center | 179 Mullen Ave, Nettleton, MS 38858-6033 | 2019-11-21 |
1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 2019-08-14 |
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 |
1750937959 | Delta Health Center, Inc | Clinic/Center | 212 E Claiborne St, Sunflower, MS 38778-9640 | 2019-08-13 |
1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
Find all providers with the same taxonomy |
City | NEW ALBANY |
Zip Code | 38652 |
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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.