NPIMap

Organization Active NPI

Tunica County Healthcare Authority

  • Family Medicine Physician
  • Tunica, MS
National Provider Identifier
1285042416
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TUNICA COUNTY HEALTHCARE AUTHORITY
Practice address
1813 Highway 61 N
Tunica, MS 38676-9683
Phone
(662) 357-0012
Fax
(662) 357-0021
NPI assigned
Jul 31, 2014
Last updated
Aug 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Mrs. Seandria F Echols Cobbins
Title
Chief Execurtive Officer
Phone
(662) 357-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1813 Highway 61 N
Tunica, MS 38676-9683

Mailing address

PO Box 789
Tunica, MS 38676-0789
Phone (662) 357-0012

National Provider Directory

National Provider Directory
Tax ID family
Tunical Medical Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1285042416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "TUNICA",
            "state": "MS",
            "postal_code": "386760789",
            "telephone_number": "662-357-0012",
            "fax_number": "667-357-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 HIGHWAY 61 N",
            "city": "TUNICA",
            "state": "MS",
            "postal_code": "386769683",
            "telephone_number": "662-357-0012",
            "fax_number": "662-357-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNICA COUNTY HEALTHCARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "ECHOLS COBBINS",
        "authorized_official_first_name": "SEANDRIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF EXECURTIVE OFFICER",
        "authorized_official_telephone_number": "662-357-0012",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tunica, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.