# BUDE RURAL HEALTH CLINIC

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

## Provider details

- **NPI number:** 1891872834
- **Authorized official:** MARY K LARKIN (OFFICE MANAGER)
- **Authorized official phone:** (601) 384-2394

## Contact information

- **Practice address:** 136 MAIN ST N, BUDE, MS 39630
- **Practice address phone:** (601) 384-2394
- **Practice address fax:** (601) 384-4199
- **Mailing address:** PO BOX 445, BUDE, MS 39630
- **Mailing address phone:** (601) 384-2394
- **Mailing address fax:** (601) 384-4199

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 03/03/2008