# BAPTIST MEDICAL CLINIC - CONVENIENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013207091
- **Legal business name:** MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
- **Authorized official:** MS. TERRI E PARKER (MEDICAL CLINIC OFFICE COORDINATOR)
- **Authorized official phone:** (601) 292-4261

## Contact information

- **Practice address:** 5341 LAKELAND DR, FLOWOOD, MS 39232-6173
- **Practice address phone:** (601) 919-2173
- **Practice address fax:** (601) 919-9723
- **Mailing address:** 1151 N STATE ST, SUITE 504, JACKSON, MS 39202-2407
- **Mailing address phone:** (601) 292-4261
- **Mailing address fax:** (601) 292-4262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2011
- **Last updated:** 04/12/2011