Mississippi Medical Relief Care Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

P330299 Issued in MS

Legal business name

MISSISSIPPI MEDICAL RELIEF CARE SERVICES

Practice address

4209 Lakeland Dr # 207
Flowood, MS 39232-9212

Phone

(769) 216-1047

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Mychell Thomas, NURSE

Title

Director

Phone

(769) 216-1047

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1588023329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 LAKELAND DR # 207",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329212",
            "telephone_number": "769-216-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 LAKELAND DR # 207",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329212",
            "telephone_number": "769-216-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI MEDICAL RELIEF CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MYCHELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "769-216-1047",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MS",
            "license": "P330299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mississippi Hma DME, LLC
• Mississippi Hma DME, LLC
• Mississippi Hma Hospitalists, LLC
• Mississippi Hma Hospitalists, LLC
• Mississippi Lactation Services
• Mississippi Medical Specialists PC
• Mississippi Methodist Hospital Rehabilitation Center Inc
• Mississippi Neurology Center, PA
• Mississippi Neurosurgery and Spine Center,PLLC
• Mississippi Organ Recovery Agency

• Health Service Clinic/Center in Flowood, MS
• Providers in Flowood, MS by specialty
• Health Service Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.