NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. (NPI# 1376938746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376938746 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. |
| Other Organization Name | WALNUT MEDICAL CENTER |
| Practice Address |
531 Main St Walnut MS 38683-9349 |
| Mailing Address |
15921 Boundary Dr Po Box 92 Ashland MS 38603-7740 |
| Practice Telephone | 6622234011 |
| Practice Fax Number | 6622234018 |
| Mailing Telephone | 6622248951 |
| Mailing Fax Number | 6622246801 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-05-07 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09011971 | 05 |
| Other Name | Type Code |
|---|---|
| WALNUT MEDICAL CENTER | 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 |
| 1275980211 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 232 Starlyn Ave, New Albany, MS 38652-2428 | 2016-05-19 |
| 1083009450 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 208 N 1st St, Booneville, MS 38829-2718 | 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 |
531 MAIN ST |
| City | WALNUT |
| State | MS |
| Zip Code | 38683-9349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477007425 | Markita Sherise Gary | Home Health | 60 Proctor St, Walnut, MS 38683 | 2016-08-08 |
| 1588741011 | Duncans Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 28271 Highway 15, Walnut, MS 38683-8930 | 2006-11-01 |
| 1215302617 | Duncan's Pharmacy, Inc. | Pharmacy | 28271 Highway 15, Walnut, MS 38683-8930 | 2015-12-10 |
| 1154447076 | James D Jackson Jr. | Pharmacist | 28271 Highway 15, Walnut, MS 38683-8930 | 2007-03-22 |
| 1316063159 | Duncan's Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 28271 Highway 15, Walnut, MS 38683-8930 | 2007-03-22 |
| 1265451991 | Mark Alexander Lothenore | Nurse Practitioner | 28301 Highway 15, Walnut, MS 38683-9753 | 2006-07-19 |
| 1538624580 | Jessica Gail Prather | Nurse Practitioner | 28301 Highway 15, Walnut, MS 38683-9753 | 2019-02-04 |
| 1467681726 | Rhonda M. Taylor | Nurse Practitioner | 28301 Highway 15, Walnut, MS 38683-9753 | 2009-07-08 |
| 1861673139 | Treesap Clinic, Inc. | Clinic/Center | 28301 Highway 15, Walnut, MS 38683-9753 | 2007-11-15 |
| 1124427455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 28191 Highway 15, Walnut, MS 38683-9798 | 2014-08-22 |
| Find all providers in zip 38683 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 | ||||
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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.