MADDEN MEDICAL CLINIC LLC (NPI# 1114099439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114099439 |
| Entity Type | Organization |
| Organization Name | MADDEN MEDICAL CLINIC LLC |
| Practice Address |
1071 E Franklin St Carthage MS 39051-3601 |
| Mailing Address |
Po Box 435 Carthage MS 39051-0435 |
| Practice Telephone | 6012674562 |
| Practice Fax Number | 6012674589 |
| Mailing Telephone | 6012674562 |
| Mailing Fax Number | 6012674589 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2011-07-21 |
| Authorized Official Name | BENITA CHAMBLEE (OFFICE MANAGER) |
| Authorized Official Telephone | 6012674562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09014124 | 05 |
| Street Address |
1071 E FRANKLIN ST |
| City | CARTHAGE |
| State | MS |
| Zip Code | 39051-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932158664 | Manuel Lim Ong Jr. | Emergency Medicine | 1071 E Franklin St, Carthage, MS 39051-3601 | 2006-05-09 |
| 1568083533 | Vytalize Health | Family Medicine | 1071 E Franklin St, Carthage, MS 39051-3601 | 2020-05-01 |
| 1396252011 | Janet Kelly | Nurse Practitioner | 1071 E Franklin St, Carthage, MS 39051-3601 | 2018-01-03 |
| 1346359197 | David Lawrence Moody | Family Medicine | 1071 E Franklin St, Carthage, MS 39051-3601 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598275828 | Roots Healthcare and Homes, LLC | Meals | 292 Pickens Circle, Carthage, MS 39051 | 2017-09-30 |
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1750738415 | Telehealthone LLC | Nurse Practitioner | 300 South Pearl Street, Carthage, MS 39051 | 2016-05-23 |
| 1316297575 | Silver Lining Adult Daycare, LLC | Respite Care | 531 Highway 35 North, Carthage, MS 39051 | 2012-09-14 |
| 1508179888 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 205 Highway 16 West, Carthage, MS 39051 | 2010-07-15 |
| 1376725754 | Amye L Shamburger | Dentist | 101 S. Pearl Street, Carthage, MS 39051 | 2007-11-28 |
| 1770786188 | Carthage Eye Clinic Pa | Optometrist | 201 Hwy 16 East, Carthage, MS 39051 | 2007-06-06 |
| 1265553762 | David C Henderson | Dentist | 113 North Pearl St, Carthage, MS 39051 | 2007-04-02 |
| 1780722280 | Linda N Roland | Nurse Practitioner | 204 Chipley St., Carthage, MS 39051 | 2007-02-05 |
| 1205914298 | William M Myers II | Dentist | 12646 Hwy 488, Carthage, MS 39051 | 2006-11-01 |
| Find all providers in zip 39051 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629620950 | Bonnell Health and Wellness | Clinic/Center | 19 Bonnell Lane, Suite A, Carthage, TN 38030 | 2019-07-16 |
| 1235637109 | Mehta Care, LLC | Clinic/Center | 320 Main St N, Carthage, TN 37030-1208 | 2018-01-25 |
| 1215322557 | Carthage Family Care Pa | Clinic/Center | 1001 Monroe St, Carthage, NC 28327-5008 | 2015-04-03 |
| 1720317977 | Complete Quick Care, LLC | Clinic/Center | 2232 S Garrison Ave, Carthage, MO 64836-2600 | 2009-12-17 |
| 1881894228 | Premier Medical Associates LLC | Clinic/Center | 131 Hospital Dr W Ste 2000, Carthage, TN 37030-4019 | 2007-07-24 |
| 1275586232 | Moore Family Care Pa | Clinic/Center | 304 Saunders St, Carthage, NC 28327-9343 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080337 | Traditions Hospice of Biloxi, LLC | Clinic/Center | 243 Beauvoir Rd Ste B, Biloxi, MS 39531-4008 | 2020-10-15 |
| 1386242097 | Traditions Hospice of Ridgeland, LLC | Clinic/Center | 680 Highway 51 Ste L, Ridgeland, MS 39157-2103 | 2020-10-14 |
| 1346848694 | Hayco LLC | Clinic/Center | 425 S Jackson St, Brookhaven, MS 39601-3817 | 2020-10-09 |
| 1023620135 | Neshoba County General Hospital-nursing Home | Clinic/Center | 406 Stribling St, Philadelphia, MS 39350-3344 | 2020-08-19 |
| 1023628245 | Durrett Health Care LLC | Clinic/Center | 1515 Munsford Dr, New Albany, MS 38652-7407 | 2020-08-03 |
| 1124644968 | First Choice Family Medical Clinic, LLC | Clinic/Center | 50 Highway 388, Brooksville, MS 39739 | 2020-06-17 |
| 1104447507 | Grace & Mercy Healthcare Center | Clinic/Center | 131 Lexington St, Pickens, MS 39146-3914 | 2020-04-27 |
| 1437788908 | Wellness Center | Clinic/Center | 1727 6th St, Meridian, MS 39301-5249 | 2020-04-06 |
| 1669018008 | Maximum Care After Hours Clinic, LLC | Clinic/Center | 212 Highway 61, Shaw, MS 38773-3877 | 2019-11-20 |
| 1598316895 | Florence Health Complex, LLC | Clinic/Center | 130 S Church St, Florence, MS 39073-8478 | 2019-09-27 |
| Find all providers with the same taxonomy | ||||
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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.