Organization
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Active
Parent organization
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Authorized official
MR. JAMES D NUNNALLY (CEO)
(662) 224-8951
Entity
Organization
Contact information
Practice address
15921 BOUNDARY DR, ASHLAND, MS 38603-7740
(662) 224-8951
(662) 224-6801
Mailing address
PO BOX 92, ASHLAND, MS 38603-0092
(662) 224-8951
(662) 224-6801
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
15021
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09011971
—
MS
Enumeration date
06/10/2005
Last updated
04/02/2015
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