Compassionate Care Clinic. LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R875837 Issued in MS

Legal business name

COMPASSIONATE CARE CLINIC. LLC

Practice address

218 S Thomas St
Tupelo, MS 38801-5330

Phone

(662) 269-3870

NPI assigned

Oct 24, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cynthia Kohliem

Title

Owner/Operator

Phone

(662) 269-3870

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1194276303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S THOMAS ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015330",
            "telephone_number": "662-269-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S THOMAS ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015330",
            "telephone_number": "662-269-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE CLINIC. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2017-07-10",
        "status": "A",
        "authorized_official_last_name": "KOHLIEM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "662-269-3870",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "R875837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.