PEACE WELLNESS CENTER, LLC (NPI# 1306111984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306111984 |
| Entity Type | Organization |
| Organization Name | PEACE WELLNESS CENTER, LLC |
| Practice Address |
638 Northwest Ave Durant MS 39063-3337 |
| Mailing Address |
Po Box 93 Vaiden MS 39176-0093 |
| Practice Telephone | 6018427107 |
| Practice Fax Number | 8005177659 |
| Mailing Telephone | 6018427107 |
| Mailing Fax Number | 8005177659 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |
| Authorized Official Name | MRS. PAMELA JARRETT (CEO) |
| Authorized Official Telephone | 6018427107 |
| Authorized Official Credential | FNP,BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | R869034 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03607748 | 05 |
| Street Address |
638 NORTHWEST AVE |
| City | DURANT |
| State | MS |
| Zip Code | 39063-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124100813 | Durant Primary Care Clinic | Clinic/Center | 638 Northwest Ave, Durant, MS 39063-3337 | 2006-10-20 |
| 1831460591 | Peace Wellness Mobile Unit | Early Intervention Provider Agency | 638 Northwest Ave, Durant, MS 39063-3337 | 2012-01-25 |
| 1285930495 | Patients Choice Medical Center of Humphreys County, LLC | Clinic/Center | 638 Northwest Ave, Durant, MS 39063-3337 | 2011-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433459 | S&m Medical Clinic | Clinic/Center | 403 Northwest Depot Street, Durant, MS 39063 | 2017-05-03 |
| 1649573833 | Sharon B Lofton | Nurse Practitioner | 33795 Ms-12, Durant, MS 39063 | 2010-12-10 |
| 1922317262 | James Myers Ferguson | Pharmacist | 33674 Hw 12, Durant, MS 39063 | 2010-10-05 |
| 1497073191 | Durant Public School District | Local Education Agency (LEA) | 65 West Madison Street, Durant, MS 39063 | 2010-05-06 |
| 1902923527 | Mallory Community Health | Clinic/Center | 33795 Highway 12 East, Durant, MS 39063 | 2007-03-26 |
| 1952333999 | Freds Stores of Tennessee Inc | Pharmacy | 33674 Highway 12, Durant, MS 39063-2602 | 2006-07-07 |
| 1033733951 | Bonita T Roby | Licensed Practical Nurse | 1762 Eddisville Rd, Durant, MS 39063-2910 | 2020-06-05 |
| 1497843676 | Wirt Fletcher Shrock Jr. | Family Medicine | 630 Northwest Ave, Durant, MS 39063-3337 | 2006-10-11 |
| 1295810901 | Holmes County Long Term Care Center - Durant | Skilled Nursing Facility | 15481 Bowling Green Rd, Durant, MS 39063-3565 | 2006-10-25 |
| 1134420284 | Durant Healthcare LLC | Skilled Nursing Facility | 15481 Bowling Green Rd, Durant, MS 39063-3565 | 2010-11-05 |
| Find all providers in zip 39063 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437586542 | Osu Center for Health Sciences | Clinic/Center | 1415 W Main St, Suite 300, Durant, OK 74701-4936 | 2013-10-03 |
| 1972008142 | Osu Center for Health Sciences | Clinic/Center | 1706 Delivery Ln, Durant, OK 74701-2292 | 2018-03-28 |
| 1376886481 | Osu Center for Health Sciences | Clinic/Center | 702 Bryan Dr, Suite 100, Durant, OK 74701-7030 | 2013-03-27 |
| 1790022770 | Osu Center for Health Scienses | Clinic/Center | 1400 Bryan Dr, Suite 300, Durant, OK 74701-2156 | 2013-01-10 |
| 1093052078 | Osu Center for Health Sciences | Clinic/Center | 1610 W University Blvd, Durant, OK 74701-3096 | 2013-01-10 |
| 1538335245 | Thomas J. Williams, O.d. | Clinic/Center | 203 N 16th Ave, Durant, OK 74701-3607 | 2008-05-02 |
| 1265547798 | Bryan Medical Center, LLC | Clinic/Center | 1400 Bryan Dr, Suite 211, Durant, OK 74701-2156 | 2006-08-21 |
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| 1124644968 | First Choice Family Medical Clinic, LLC | Clinic/Center | 50 Highway 388, Brooksville, MS 39739 | 2020-06-17 |
| 1104447507 | Grace & Mercy Healthcare Center | Clinic/Center | 131 Lexington St, Pickens, MS 39146-3914 | 2020-04-27 |
| 1437788908 | Wellness Center | Clinic/Center | 1727 6th St, Meridian, MS 39301-5249 | 2020-04-06 |
| 1669018008 | Maximum Care After Hours Clinic, LLC | Clinic/Center | 212 Highway 61, Shaw, MS 38773-3877 | 2019-11-20 |
| 1598316895 | Florence Health Complex, LLC | Clinic/Center | 130 S Church St, Florence, MS 39073-8478 | 2019-09-27 |
| 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.