Acute Care & Family Clinic of Sherman, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ACUTE CARE & FAMILY CLINIC OF SHERMAN, LLC

Practice address

608 Highway 178
Sherman, MS 38869

Phone

(662) 840-3577

Fax

(662) 840-3770

NPI assigned

Jul 5, 2013

Organization subpart

No

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

Authorized official

Name

Alyssa Vail

Title

Administration

Phone

(662) 840-4577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1306286307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 HIGHWAY 178",
            "city": "SHERMAN",
            "state": "MS",
            "postal_code": "38869",
            "telephone_number": "662-840-3577",
            "fax_number": "662-840-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HIGHWAY 178",
            "city": "SHERMAN",
            "state": "MS",
            "postal_code": "38869",
            "telephone_number": "662-840-3577",
            "fax_number": "662-840-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE CARE & FAMILY CLINIC OF SHERMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-05",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "VAIL",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "662-840-4577"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avalon Medical LLC
• Boa Vida Hospital of Aberdeen, Ms, LLC
• Frances W. Herod LLC
• GSV Care Medical Clinic of Sherman, LLC
• Cynthia Rena Kohliem, FNP-C

• Family Nurse Practitioner in Sherman, MS
• Providers in Sherman, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.