1740278738 NPI number — CMA FAMILY MEDICINE CLINIC

Table of content: (NPI 1740278738)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740278738 NPI number — CMA FAMILY MEDICINE CLINIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CMA FAMILY MEDICINE CLINIC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740278738
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/12/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
155 HOSPITAL DR
Provider Second Line Business Mailing Address:
P O BOX 424
Provider Business Mailing Address City Name:
TYLERTOWN
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39667-2021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
601-876-5337
Provider Business Mailing Address Fax Number:
601-876-5045

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
155 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TYLERTOWN
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39667-2021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-876-5337
Provider Business Practice Location Address Fax Number:
601-876-5045
Provider Enumeration Date:
10/12/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ARMSTRONG
Authorized Official First Name:
GREGORY
Authorized Official Middle Name:
Authorized Official Title or Position:
CLINIC MANAGER
Authorized Official Telephone Number:
601-876-5337

Provider Taxonomy Codes

  • Taxonomy code: 173000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 09015286 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".




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