# BATESVILLE MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164077525
- **Authorized official:** DR. MICHAEL R HAVENS MD (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (662) 563-6000

## Contact information

- **Practice address:** 107 EUREKA ST STE A, BATESVILLE, MS 38606-2533
- **Practice address phone:** (662) 563-6000
- **Practice address fax:** (662) 563-2200
- **Mailing address:** PO BOX 395, BATESVILLE, MS 38606-0395
- **Mailing address phone:** (662) 563-6000
- **Mailing address fax:** (662) 563-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2019
- **Last updated:** 05/26/2026