CRAWFORD HEALTH CLINIC, LLC (NPI# 1912193459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912193459 |
Entity Type | Organization |
Organization Name | CRAWFORD HEALTH CLINIC, LLC |
Practice Address |
15865 Highway 14 Macon MS 39341 |
Mailing Address |
Po Box 95 Crawford MS 39743-0095 |
Practice Telephone | 6624357800 |
Mailing Telephone | 6624357800 |
Enumeration Date | 2007-09-19 |
Last Update Date | 2012-03-08 |
Authorized Official Name | MRS. FELICIA DELORIS EDWARDS (MANAGING PARTNER) |
Authorized Official Telephone | 6624357800 |
Authorized Official Credential | NURSE PRACTITION |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
R740067 | MS | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 03825275 | 05 |
Street Address |
15865 HIGHWAY 14 |
City | MACON |
State | MS |
Zip Code | 39341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134616113 | Noxubee General Critical Access Hospital | Pharmacy | 34 Hospital Road, Macon, MS 39341 | 2018-04-16 |
1821390949 | Margaret Rice | Counselor | 200 Mlk St W, Macon, MS 39341 | 2010-11-22 |
1619109840 | Katisha Gordon | Counselor | 200 Mlk St, Macon, MS 39341 | 2009-08-21 |
1578680005 | Region Vii Mh Mr Commission | Counselor | 200 Lawerence St, Macon, MS 39341 | 2007-03-22 |
1255473906 | Macon Clinical Laboratory, Inc. | Clinical Medical Laboratory | 602 Njefferson Street, Macon, MS 39341 | 2007-02-12 |
1093880874 | Mhs, Inc. | Clinic/Center | 602 N. Jefferson St., Macon, MS 39341 | 2006-11-21 |
1841216413 | Freds Stores of Tennessee Inc | Pharmacy | 59 Frontage Rd, Macon, MS 39341 | 2006-07-15 |
1902844194 | Noxubee General Critical Access Hospital | General Acute Care Hospital | 606 North Jefferson Street, Macon, MS 39341 | 2006-06-02 |
1285725838 | Jennifer Yuson Dozier | Nurse Practitioner | 606 North Jefferson Street, Macon, MS 39341 | 2006-09-27 |
1679507024 | Naim U. Rahman | Internal Medicine | 606 North Jefferson Street, Macon, MS 39341 | 2006-07-10 |
Find all providers in zip 39341 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
1235401084 | Trinity Mobile Health Clinic | Clinic/Center | 15865 Highway 14 West, Macon, MS 39341-2453 | 2012-02-08 |
1093880874 | Mhs, Inc. | Clinic/Center | 602 N. Jefferson St., Macon, MS 39341 | 2006-11-21 |
1700062734 | Noxubee General Critical Access Hospital | Clinic/Center | 602 N Jefferson St, Macon, MS 39341-2242 | 2008-01-22 |
1790872018 | Noxubee General Critical Access Hospital | Clinic/Center | 606 N Jefferson St, Macon, MS 39341-0480 | 2006-10-06 |
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 |
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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.