QUALITY MEDICAL CLINIC II, LLC (NPI# 1295261642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295261642 |
| Entity Type | Organization |
| Organization Name | QUALITY MEDICAL CLINIC II, LLC |
| Practice Address |
101 Hospital Dr Tylertown MS 39667-2021 |
| Mailing Address |
101 Hospital Dr Po Box 1033 Tylertown MS 39667-2021 |
| Practice Telephone | 6018275117 |
| Practice Fax Number | 6018275733 |
| Mailing Telephone | 6018275117 |
| Mailing Fax Number | 6018275733 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2019-01-17 |
| Authorized Official Name | DR. VICTOR O ANAZIA (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 6018275117 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
1102452 | MS | Ambulatory Health Care Facilities |
| Street Address |
101 HOSPITAL DR |
| City | TYLERTOWN |
| State | MS |
| Zip Code | 39667-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972031227 | Rachel Johnson | Nurse Anesthetist, Certified Registered | 101 Hospital Dr, Tylertown, MS 39667-2021 | 2017-05-31 |
| 1942754338 | Southern Digestive Health Center,llc | Specialist | 101 Hospital Dr, Tylertown, MS 39667-2021 | 2016-08-15 |
| 1861515587 | Southwest Health Agency for Rural People, Inc. | Clinic/Center | 101 Hospital Dr, Tylertown, MS 39667-2021 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891212221 | Lavarshia Newsome-pittman | Pharmacist | 3000 Plaza Drive, Tylertown, MS 39667 | 2017-08-25 |
| 1891171039 | Tanya Marie Holmes-morris | Home Health Aide | 42 West Mt. Olive Rd, Tylertown, MS 39667 | 2015-08-10 |
| 1376776930 | Family Health Care Clinic, Inc. | Clinic/Center | 225 Saint Paul Road, Tylertown, MS 39667 | 2009-08-31 |
| 1427221290 | Family Health Care Clinic, Inc. | Clinic/Center | 113 Enoch St, Tylertown, MS 39667 | 2008-04-11 |
| 1275651879 | John C Barrett | Dentist | 75 Old Hwy 98 E, Tylertown, MS 39667 | 2007-03-26 |
| 1497895551 | L & L Hospice, Inc. | Hospice Care, Community Based | 423 A Beulah, Tylertown, MS 39667 | 2007-02-07 |
| 1114009610 | Ruthie L Lewis | Licensed Practical Nurse | 423a Beulah Avenue, Tylertown, MS 39667 | 2006-10-20 |
| 1245512417 | Walthall General Hospital | Internal Medicine | 100 Hospital Drive, Tylertown, MS 39667 | 2011-09-14 |
| 1255649604 | Walthall General Hospital | General Acute Care Hospital | 200 Hospital Dr, Tylertown, MS 39667 | 2010-09-20 |
| 1407499296 | Belinda May Ratcliff | Pharmacist | 201 Hospital Dr, Tylertown, MS 39667-2019 | 2019-10-23 |
| Find all providers in zip 39667 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1700440369 | Gentle Hands Healthcare LLC | Clinic/Center | 135 Oak Meadow Dr, Clinton, MS 39056-6044 | 2019-04-29 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1730502055 | Hancock Medical Health Services | Clinic/Center | 5435 Gex Road, Diamondhead, MS 39525 | 2014-01-22 |
| 1538478870 | Hancock Medical Health Services, Inc. | Clinic/Center | 100 Hancock Square Dr, Bay St Louis, MS 39520-1632 | 2010-10-05 |
| 1629287719 | Singing River Health System | Clinic/Center | 7001 Highway 614, Moss Point, MS 39562 | 2007-05-22 |
| 1164422580 | Mississippi University for Women | Clinic/Center | 620 10th St South, Cromwell Bldg Room 129, Columbus, MS 39701 | 2005-07-28 |
| 1578129177 | Madison Hma LLC | Clinic/Center | 161 River Oaks Dr, Canton, MS 39046-5375 | 2019-05-20 |
| 1902361660 | Sog Physical Therapy | Clinic/Center | 1211 S Gloster St Ste C, Tupelo, MS 38801-6535 | 2019-02-07 |
| 1558897744 | Asa LLC | Clinic/Center | 1924 30th Ave, Gulfport, MS 39501-4534 | 2017-05-07 |
| 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.