PRIMARY HEALTH CARE, PLLC (NPI# 1104074319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104074319 |
Entity Type | Organization |
Organization Name | PRIMARY HEALTH CARE, PLLC |
Practice Address |
565 N Robinson St Senatobia MS 38668-2118 |
Practice Telephone | 6625604313 |
Practice Fax Number | 6625604383 |
Mailing Telephone | 6625604313 |
Mailing Fax Number | 6625604383 |
Enumeration Date | 2008-08-29 |
Last Update Date | 2008-09-24 |
Authorized Official Name | MS. MARTHA MOORE CLINTON (OWNER / OPERATOR) |
Authorized Official Telephone | 6625604313 |
Authorized Official Credential | FNP-BC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
R672491 | MS | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | DEA NUMBER | MC1537438 | 01 |
MS | UPIN | S19627 | 01 |
MS | CAQH | 11618104 | 01 |
MS | LICENSE NUMBER | R672491 | 01 |
MS | 00116700 | 05 |
Street Address |
565 N ROBINSON ST |
City | SENATOBIA |
State | MS |
Zip Code | 38668-2118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063925105 | Reflections Mental Health, LLC | Psychiatry & Neurology | 565 N Robinson St, Senatobia, MS 38668-2118 | 2017-11-12 |
1235582438 | Lacie Mcabee | Nurse Practitioner | 565 N Robinson St, Senatobia, MS 38668-2118 | 2016-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303010 | Northwest Health and Wellness, Inc | Clinic/Center | 215 Northwest Drive, Senatobia, MS 38668 | 2020-10-12 |
1689218307 | Linda Fay Butler | Technician | 341 Springfield Road, Senatobia, MS 38668 | 2019-11-06 |
1992044754 | Lara J Hayes | Counselor | 1471 Highway 51 S, Senatobia, MS 38668 | 2013-02-13 |
1174653737 | William L Alford | Dentist | 26 Westwood Drive, Senatobia, MS 38668 | 2007-03-06 |
1265576995 | Mays Pharmacy | Durable Medical Equipment & Medical Supplies | 4385 Hwy 51 South, Senatobia, MS 38668 | 2007-02-16 |
1902990997 | Purnima R Purohit | Obstetrics & Gynecology | 135 Keating Rd, Senatobia, MS 38668 | 2006-10-03 |
1356457576 | Jason Andre Cooper | Specialist/Technologist | 214 East Main St., Senatobia, MS 38668 | 2006-08-21 |
1306896386 | Martha M Clinton | Nurse Practitioner | 565 N. Robinson Street, Senatobia, MS 38668 | 2006-05-11 |
1215490214 | Janet Giron-legarda | Case Manager/Care Coordinator | 101 Preston Mckay Dr, Senatobia, MS 38668 | 2019-04-08 |
1558692582 | Tate Family Dentistry, L.L.C. | Dentist | 26 Westwood Drive, Senatobia, MS 38668 | 2010-01-14 |
Find all providers in zip 38668 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303010 | Northwest Health and Wellness, Inc | Clinic/Center | 215 Northwest Drive, Senatobia, MS 38668 | 2020-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538786090 | Essential Health & Wellness Clinic P.a. | Clinic/Center | 5842 Goodman Rd Ste 1, Horn Lake, MS 38637-8106 | 2020-07-01 |
1144841826 | Love and Care Adult Daycare and Personal Care Services | Clinic/Center | 521 Brentwood Ave, Greenwood, MS 38930-6910 | 2020-05-04 |
1982254389 | Lca of Ms, LLC | Clinic/Center | 6098 U S Highway 98 Ste 4, Hattiesburg, MS 39402-8878 | 2019-09-17 |
1841849791 | Ayanna Hawkins | Clinic/Center | 1294 White Oak Rd, Tunica, MS 38676-9743 | 2019-09-04 |
1003463928 | Np Professional Services, LLC | Clinic/Center | 17 Church Cv, Beulah, MS 38726-9430 | 2019-08-26 |
1760035232 | Mcmedical Country Clinic LLC | Clinic/Center | 52 County Road 74, Mc Carley, MS 38943-6820 | 2019-07-23 |
1720550775 | Karen Jackson | Clinic/Center | 104 Taggart Dr, Steens, MS 39766-9563 | 2018-12-31 |
1831672435 | Healthcareonthego, LLC | Clinic/Center | 3901 King Rd, Meridian, MS 39305-2533 | 2018-09-10 |
1568949097 | Lifespan Wellness LLC | Clinic/Center | 101 Rouselle Pl Ste A, Ocean Springs, MS 39564-3074 | 2018-07-27 |
1013443811 | Jackson Diabetes Care and Consulting LLC | Clinic/Center | 2610 Traceland Dr Ste A, Tupelo, MS 38801-4237 | 2017-05-11 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PRIMARY HEALTH CARE, PLLC.
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.