Medical Foundation of Central Mississippi, Inc
Organization Active NPI Family Medicine Physician · Clinton, MS
NPI 1124241245 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124241245
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC
- Practice address
- 106 Clinton Parkway
Clinton, MS 39056 - Phone
- (601) 924-9005
- Fax
- (601) 925-9463
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Elizabeth H Mullins
- Title
- Director of Clinic Administration
- Phone
- (601) 292-4261
Corporate family (same tax ID) 41
National Provider Directory
- Tax ID family
- Baptist PT - Northtown
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
106 Clinton Parkway
Clinton, MS 39056
Mailing address
1151 N State St Ste 408
Jackson, MS 39202-2464
Phone (601) 292-4261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09014808 | Medicaid | MS |
Other names
- Baptist Medical Clinic - Clinton
Other providers in Clinton, MS
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- Sarah M Meadows
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- Medical Equipment on the Go Inc.
- Medical Equipment to Go
- Medreview Management Services, LLC
- Sheree Renee Melton
- Brooklyn Mendez
- Mending Broken Bridges Counseling & Consultation, LLC
- Wesley A Miley
All providers in Clinton, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.