Organization Active NPI

Hope Medical Clinic, LLC

  • Health Service Clinic/Center
  • Laurel, MS
National Provider Identifier
1417253642
Registry record updated Feb 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
R865733 Issued in MS
Legal business name
HOPE MEDICAL CLINIC, LLC
Practice address
3223 Audubon Dr
Laurel, MS 39440-1422
Phone
(601) 425-3020
NPI assigned
Feb 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2011

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

Authorized official

Name
Lindy Cassell, FNP
Title
Owner
Phone
(601) 425-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X R865733 MS Primary

Addresses

Primary practice location

3223 Audubon Dr
Laurel, MS 39440-1422

Mailing address

3223 Audubon Dr
Laurel, MS 39440-1422
Phone (601) 425-3020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296864000000",
    "number": "1417253642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 AUDUBON DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401422",
            "telephone_number": "601-425-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 AUDUBON DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401422",
            "telephone_number": "601-425-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-05",
        "last_updated": "2011-02-05",
        "status": "A",
        "authorized_official_last_name": "CASSELL",
        "authorized_official_first_name": "LINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-425-3020",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MS",
            "license": "R865733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2011; 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.