ALLCARE MISSISSIPPI, LLC (NPI# 1386956837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386956837 |
| Entity Type | Organization |
| Organization Name | ALLCARE MISSISSIPPI, LLC |
| Practice Address |
301 Jackson Ave W Oxford MS 38655-2154 |
| Mailing Address |
301 Jackson Ave W Po Box 1096 Oxford MS 38655-2154 |
| Practice Telephone | 6622346464 |
| Practice Fax Number | 6622346433 |
| Mailing Telephone | 6622346464 |
| Mailing Fax Number | 6622346433 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |
| Authorized Official Name | MS. KYMBERLY RAVEN VAN EVERY (OWNER/CEO) |
| Authorized Official Telephone | 6622346464 |
| Authorized Official Credential | C-FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
966745 | MS | Ambulatory Health Care Facilities |
| Street Address |
301 JACKSON AVE W |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437242724 | Kymberly Raven Ross | Registered Nurse | 301 Jackson Ave W, Oxford, MS 38655-2154 | 2006-10-01 |
| 1275858599 | Cathy Wilburn | Nurse Practitioner | 301 Jackson Ave W, Oxford, MS 38655-2154 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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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.