BROOKSVILLE MEDICAL CLINIC INC (NPI# 1922171826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922171826 |
| Entity Type | Organization |
| Organization Name | BROOKSVILLE MEDICAL CLINIC INC |
| Practice Address |
139 N. Oliver St. Brooksville MS 39739-0348 |
| Mailing Address |
Po Box 348 139 N. Oliver St. Brooksville MS 39739-0348 |
| Practice Telephone | 6627384424 |
| Practice Fax Number | 6627384615 |
| Mailing Telephone | 6627384424 |
| Mailing Fax Number | 6627384615 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ERNEST ROY STUART JR. (PRESIDENT) |
| Authorized Official Telephone | 6627384424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
253912 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09014825 | 05 |
| Street Address |
139 N. OLIVER ST. |
| City | BROOKSVILLE |
| State | MS |
| Zip Code | 39739-0348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124644968 | First Choice Family Medical Clinic, LLC | Clinic/Center | 50 Highway 388, Brooksville, MS 39739 | 2020-06-17 |
| 1083139455 | Williams Care Company | In Home Supportive Care | 3695 Drake Hill Rd, Brooksville, MS 39739 | 2017-08-07 |
| 1396049185 | John D Owings IIi | Pharmacist | 312 North Oliver St., Brooksville, MS 39739 | 2011-01-07 |
| 1417180712 | John C Mason | Pharmacist | 139 North Oliver St., Brooksville, MS 39739 | 2009-09-02 |
| 1669657565 | Noxubee General Critical Access Hospital | Clinic/Center | 139 North Oliver Street, Brooksville, MS 39739 | 2008-01-09 |
| 1023150786 | Brooksville Clinical Laboratory, Inc. | Clinical Medical Laboratory | 139 N Oliver Street, Brooksville, MS 39739 | 2007-02-12 |
| 1609949692 | Kim Willams Truesdale | Nurse Practitioner | 139 North Oliver St, Brooksville, MS 39739 | 2006-11-16 |
| 1710964754 | Charles Larry Mccullouch Jr. | Family Medicine | 1560 North Oliver St., Brooksville, MS 39739 | 2005-12-30 |
| 1104843671 | Freds Stores of Tennessee Inc | Pharmacy | 25 Main Street, Brookesville, MS 39739 | 2006-07-17 |
| 1639211121 | Macon City Drug Store, Inc. | Pharmacy | 1556 N Oliver St, Brooksville, MS 39739-4003 | 2007-02-13 |
| Find all providers in zip 39739 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1669657565 | Noxubee General Critical Access Hospital | Clinic/Center | 139 North Oliver Street, Brooksville, MS 39739 | 2008-01-09 |
| 1326390501 | Access Health Care Physicians LLC | Clinic/Center | 11373 Cortez Blvd, 304, Brooksville, FL 34613-5414 | 2012-10-11 |
| 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 | ||||
| City | BROOKSVILLE |
| Zip Code | 39739 |
Please comment or provide details below to improve the information on BROOKSVILLE MEDICAL CLINIC INC.
| 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.