NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.


Address: 3114b North Shiloh Road, Corinth, MS 38834
Phone: 6623964406

NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. (NPI# 1902292410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902292410
Entity Type Organization
Organization Name NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Other Organization Name CORINTH COMMUNITY HEALTH CENTER
Practice Address 3114b North Shiloh Road
Corinth
MS 38834
Mailing Address 15921 Boundary Dr
Po Box 92
Ashland
MS 38603-7740
Practice Telephone 6623964406
Practice Fax Number 6623964482
Mailing Telephone 6622248951
Mailing Fax Number 6622246801
Enumeration Date 2015-04-10
Last Update Date 2015-04-20
Authorized Official Name JAMES D NUNNALLY (CEO)
Authorized Official Telephone 6622248951
Is Organization Subpart Y
Parent Organization Name NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
MS 09011971 05

Other Provider/Organization Names

Other Name Type Code
Corinth Community Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376009407 North Mississippi Primary Health Care, Inc. Clinic/Center 16025 Boundary Drive, Ashland, MS 38603 2019-02-13
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
1376938746 North Mississippi Primary Health Care, Inc. Clinic/Center 531 Main St, Walnut, MS 38683-9349 2015-04-02

Other Data Sources

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

Office Location

Street Address 3114B NORTH SHILOH ROAD
City CORINTH
State MS
Zip Code 38834

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477176824 Crystalcare Clinic/Center 3124 N Shiloh Road, Corinth, MS 38834 2020-05-20
1962046680 Wanda Lee Kilpatrick Technician 1206 Breckenridge St., Corinth, MS 38834 2019-11-06
1215595756 Alanna Nunez Heflin Dentist 3127 E Shiloh Rd, Corinth, MS 38834 2019-05-30
1629530795 A Port In The Storm (apits) Clinic/Center 102 N. Cass Street, Suite B, Corinth, MS 38834 2019-04-05
1538654199 Jerry Wayne Latch Durable Medical Equipment & Medical Supplies 206 N Fillmore St, Corinth, MS 38834 2018-06-26
1194215681 Brooks Medical Clinic Clinic/Center 2113 South Tate Street, Corinth, MS 38834 2018-05-10
1164938650 Pediatric Dentistry of Corinth Dentist 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 2017-12-19
1467964536 King Speech-language Therapy, LLC Speech-Language Pathologist 2203 Hwy 72 East, Corinth, MS 38834 2017-10-30
1841669728 Glenda Gatlin Social Worker 14 Cr 305, Corinth, MS 38834 2015-09-21
1649646555 Amanda Word Social Worker 303 North Madison Street, Corinth, MS 38834 2015-08-14
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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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
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Competitor

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City CORINTH
Zip Code 38834

Improve Information

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Dataset Information

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.

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