Organization Active NPI

Natchez Rural Health Clinic, Inc

  • Rural Health Clinic/Center
  • Natchez, MS
National Provider Identifier
1356484604
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
06605 Issued in MS
Legal business name
NATCHEZ RURAL HEALTH CLINIC, INC
Practice address
500 N Martin Luther King Jr St
Natchez, MS 39120-2955
Phone
(601) 446-7332
Fax
(601) 445-0624
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Dr. James Roy Todd Jr., MD
Title
Owner
Phone
(601) 446-7332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 06605 MS Primary

Addresses

Primary practice location

500 N Martin Luther King Jr St
Natchez, MS 39120-2955

Mailing address

500 Martin Luther King Jr Street
Natchez, MS 39120-0000
Phone (601) 446-7332

Other identifiers 1

IdentifierTypeStateIssuer
09013918MedicaidMS

National Provider Directory

National Provider Directory

Locations

500 N Mlk
#J
Natchez, MS 39120
Phone (601) 446-7332

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1356484604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARTIN LUTHER KING JR STREET",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391200000",
            "telephone_number": "601-446-7332",
            "fax_number": "601-445-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MARTIN LUTHER KING JR ST",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391202955",
            "telephone_number": "601-446-7332",
            "fax_number": "601-445-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHEZ RURAL HEALTH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-446-7332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MS",
            "license": "06605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013918",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.