WATER VALLEY RURAL HEALTH PAUL ODOM MD


Address: 645 South Main Street, Water Valley, MS 38965
Phone: 6624731311

WATER VALLEY RURAL HEALTH PAUL ODOM MD (NPI# 1912070277) 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) 1912070277
Entity Type Organization
Organization Name WATER VALLEY RURAL HEALTH PAUL ODOM MD
Practice Address 645 South Main Street
Water Valley
MS 38965
Mailing Address Po Box 725
645 S Main Street
Water Valley
MS 38965
Practice Telephone 6624731311
Practice Fax Number 6624732489
Mailing Telephone 6624731311
Mailing Fax Number 6624732489
Enumeration Date 2006-11-16
Last Update Date 2020-08-22
Authorized Official Name MR. PAUL LEROY ODOM (OWNER)
Authorized Official Telephone 6624731311
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS 09013597 05
MEDICARE RIVERBEND 253848 01

Office Location

Street Address 645 SOUTH MAIN STREET
City WATER VALLEY
State MS
Zip Code 38965

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356402002 Yalobusha General Hospital Clinic/Center 645 South Main Street, Water Valley, MS 38965 2006-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083087985 Family Health Care Clinic, Inc. Clinic/Center 102 Blackmur Dr, Water Valley, MS 38965 2015-11-02
1770713893 Ben F Toole Counselor 1285 County Road 151, Water Valley, MS 38965 2009-07-23
1053451880 North Mississippi Foot Specialists PC Durable Medical Equipment & Medical Supplies 630 South Main St, Water Valley, MS 38965 2007-02-08
1003977281 Barney Lee Pullen Jr. Dentist 117 Wood St, Water Valley, MS 38965 2006-12-12
1255414173 Family Practice Clinic of Water Valley Family Medicine 606 So Main St, Water Valley, MS 38965 2006-10-23
1073609467 Paul Leroy Odom Family Medicine 604 South Main Street, Water Valley, MS 38965 2006-10-05
1730129164 Quality Medical Service, Inc Durable Medical Equipment & Medical Supplies Quality Medical Services, Inc, 48 S Main Street, Water Valley, MS 38965 2006-06-07
1124687207 Dontavious Toles Physical Therapy Assistant 50 Main St, Water Valley, MS 38965 2019-06-11
1669826111 Antoinette Taylor Family Medicine 604 S Main St, Water Valley, MS 38965 2016-04-21
1659607232 Cinnamon Caryl Foster Nurse Practitioner 712 S Main St, Water Valley, MS 38965 2009-11-02
Find all providers in zip 38965

Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356402002 Yalobusha General Hospital Clinic/Center 645 South Main Street, Water Valley, MS 38965 2006-12-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730786120 Ochsner Medical Center - Hancock, LLC Clinic/Center 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 2020-10-08
1306460282 Covington County Hospital Clinic/Center 105 Eaton St, Taylorsville, MS 39168-5614 2020-06-05
1871117747 Covington County Hospital Clinic/Center 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 2020-06-05
1194365338 Bounds Family Medical Clinic/Center 870 Main St Ste A, Fayette, MS 39069-5695 2020-01-15
1720649577 Boa Vida Hospital of Aberdeen, Ms, LLC Clinic/Center 19 Third St, Belmont, MS 38827 2019-06-24
1255999611 Boa Vida Hospital of Aberdeen, Ms LLC Clinic/Center 400 3rd Ave 32 West, New Houlka, MS 38850 2019-05-31
1598238545 South Sunflower County Hospital Clinic/Center 1001 West Delta, Moorhead, MS 38761 2019-01-02
1790272185 Boa Vida Hospital of Aberdeen, Ms, LLC Clinic/Center 670 Ms-178, Suite 5, Sherman, MS 38869 2018-04-20
1124515515 Boa Vida Hospital of Aberdeen, Ms, LLC Clinic/Center 2200 5th St N, Columbus, MS 39705-2212 2018-04-20
1205323698 Boa Vida Hospital of Aberdeen, Ms, LLC Clinic/Center 815 2nd Ave N, Columbus, MS 39701-4703 2018-04-20
Find all providers with the same taxonomy

Competitor

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City WATER VALLEY
Zip Code 38965

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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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