NPIMap

Organization Active NPI

West Union Family Clinic

  • Primary Care Clinic/Center
  • New Albany, MS
National Provider Identifier
1558670802
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R687235 Issued in MS
Legal business name
WEST UNION FAMILY CLINIC
Practice address
1561 St Hwy 30 W
New Albany, MS 38652
Phone
(662) 333-6387
Fax
(663) 333-9339
NPI assigned
Oct 5, 2010
Last updated
Oct 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Denise Gossett, NP
Title
Nurse Practioner
Phone
(662) 333-6387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R687235 MS Primary

Addresses

Primary practice location

1561 St Hwy 30 W
New Albany, MS 38652

Mailing address

PO Box 5
Hickory Flat, MS 38633-0005
Phone (662) 333-6387

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1558670802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "HICKORY FLAT",
            "state": "MS",
            "postal_code": "386330005",
            "telephone_number": "662-333-6387",
            "fax_number": "663-333-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 ST HWY 30 W",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "38652",
            "telephone_number": "662-333-6387",
            "fax_number": "663-333-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST UNION FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "GOSSETT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "662-333-6387",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "R687235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.