NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. (NPI# 1376009407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376009407 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. |
| Practice Address |
16025 Boundary Drive Ashland MS 38603 |
| Mailing Address |
Po Box 92 Ashland MS 38603-0092 |
| Practice Telephone | 6625023137 |
| Practice Fax Number | 6622246801 |
| Mailing Telephone | 6625023137 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | TAMMY G CHAPMAN (CFO) |
| Authorized Official Telephone | 6622248951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NORTH MISSISSIPPI PRIMARY HEALTH CARE INC. WELLNESS CENTER | Doing Business As Name - Organization |
| NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. WELLNESS CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902292410 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 3114b North Shiloh Road, Corinth, MS 38834 | 2015-04-10 |
| 1821092552 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2005-06-10 |
| 1063078079 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 2716 W Oxford Loop Ste 171, Oxford, MS 38655-5722 | 2019-05-15 |
| 1972065829 | North Mississippi Primary Health Care, Inc. | Nurse Practitioner | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2019-04-01 |
| 1275980211 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 232 Starlyn Ave, New Albany, MS 38652-2428 | 2016-05-19 |
| 1083009450 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 208 N 1st St, Booneville, MS 38829-2718 | 2015-04-02 |
| 1376938746 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 531 Main St, Walnut, MS 38683-9349 | 2015-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. | 15921 W Boundary Drive, Ashland, MS 38603-7740 |
| Street Address |
16025 BOUNDARY DRIVE |
| City | ASHLAND |
| State | MS |
| Zip Code | 38603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861909 | Sheila Ruth Cater Murphy | Nurse Practitioner | 761 Ripley Ave, 761 Ripley Ave, Ashland, MS 38603 | 2020-11-03 |
| 1235205154 | Ashland Drugs Inc | Pharmacy | 15917 Boundary Street, Ashland, MS 38603 | 2006-11-24 |
| 1730129404 | Arif Aziz Somjee | Internal Medicine | 15921 Boundary Drive, Box 92, Ashland, MS 38603 | 2006-06-08 |
| 1609855154 | Vanguard of Ashland, LLC | Skilled Nursing Facility | 16056 Boundary Dr, Ashland, MS 38603 | 2006-01-12 |
| 1619513868 | Renee Lachon Voshake | Pharmacist | 15917 Boundary Dr, Ashland, MS 38603 | 2019-11-22 |
| 1215344460 | Ashland Drug Store, Inc | Pharmacy | 15917 Boundary Drive, Ashland, MS 38603 | 2014-07-21 |
| 1477857589 | Bailey Melton | Pharmacist | 15917 Boundary Drive, Ashland, MS 38603 | 2011-01-04 |
| 1871801795 | Ankit Bavariya | Dentist | 15921 Boundary Dr, Ashland, MS 38603 | 2010-09-14 |
| 1801915855 | Ruan Kendall | Pharmacist | 15917 Boundary Dr, Hwy 5, Ashland, MS 38603 | 2007-03-29 |
| 1841600442 | Mississippi State Department of Health | Public Health or Welfare | 105 4th Street, Ashland, MS 38603-0000 | 2014-05-05 |
| Find all providers in zip 38603 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers in ASHLAND | ||||
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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.