Organization
WINSTON MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE J FRYERY (DIRECTOR OF CLINIC OPERATIONS)
(662) 446-1972
Entity
Organization
Contact information
Practice address
923 S CHURCH AVE, LOUISVILLE, MS 39339
(662) 773-3503
(662) 446-1039
Mailing address
P O BOX 470, LOUISVILLE, MS 39339
(662) 773-3503
(662) 446-1039
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01689827
—
MS
Enumeration date
06/17/2013
Last updated
01/19/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up