REID FARMER DAVIS MEDICO (NPI# 1730467382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730467382 |
| Entity Type | Organization |
| Organization Name | REID FARMER DAVIS MEDICO |
| Other Organization Name | DEVINE FAMILY MEDICAL CLINIC |
| Practice Address |
4080 Highway 8 West Cleveland MS 38732 |
| Practice Telephone | 6624020686 |
| Mailing Telephone | 6624020686 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |
| Authorized Official Name | MS. LOUISE REID (CEO) |
| Authorized Official Telephone | 6624020686 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Devine Family Medical Clinic | Doing Business As Name - Organization |
| Street Address |
4080 HIGHWAY 8 WEST |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| 1023264934 | Borders-blackwell Medical & Wellness Corporation | Clinic/Center | 321 S Sharpe Ave, Post Office Box 1998, Cleveland, MS 38732 | 2008-08-12 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326462219 | Neighborhood Health Care Incorporated | Clinic/Center | 14625 Puritas Ave, Cleveland, OH 44135-2815 | 2014-02-12 |
| 1750911376 | Stella Maris, Inc. | Clinic/Center | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-01-23 |
| 1568014173 | Neighborhood Health Care Incorporated | Clinic/Center | 3545 Ridge Rd, Cleveland, OH 44102-5464 | 2019-07-13 |
| 1578055174 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 10505 Saint Clair Ave Ste 101, Cleveland, OH 44108-1973 | 2018-05-31 |
| 1346747946 | Osh-oh Physicians Group PC | Clinic/Center | 4071 Lee Rd, Cleveland, OH 44128 | 2018-04-10 |
| 1124487681 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 9127 Miles Ave, Cleveland, OH 44105-6136 | 2016-02-12 |
| 1447629670 | Alana Haney Family Medicine | Clinic/Center | 2401 N Ocoee St, Cleveland, TN 37311-3853 | 2015-09-17 |
| 1629452784 | Neighborhood Health Care Incorporated | Clinic/Center | 5209 Detroit Ave, Cleveland, OH 44102-2224 | 2015-07-17 |
| 1194113233 | Neighborhood Health Care Incorporated | Clinic/Center | 6412 Franklin Blvd, Cleveland, OH 44102-3153 | 2014-12-23 |
| 1609282672 | Aids Healthcare Foundation | Clinic/Center | 2829 Euclid Ave, Cleveland, OH 44115-2413 | 2014-07-10 |
| Find all providers in CLEVELAND | ||||
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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.