North Mississippi Medcial Center, Inc.
Organization Active NPI Rehabilitation Clinic/Center · Baldwyn, MS
NPI 1669656765 · NPPES record last updated Jan 22, 2025
Key facts
- NPI
- 1669656765
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- License
- 13-063 (MS)
- Legal business name
- NORTH MISSISSIPPI MEDCIAL CENTER, INC.
- Practice address
- 920 N Fourth St
Suite a
Baldwyn, MS 38824-1121 - Phone
- (662) 365-4082
- Fax
- (662) 365-4142
- NPI assigned
- Dec 26, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTH MISSISSIPPI MEDICAL CENTER, INC.
Authorized official
- Name
- Bruce Toppin
- Title
- Corporate Secretary
- Phone
- (662) 377-4229
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Anant Shenoy MD
- Part of
- Anant Shenoy MD
Locations
920 N Fourth St
Ste A
Baldwyn, MS 38824
Phone (662) 365-4082
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 13-063 | MS | Yes |
Addresses
Primary practice location
920 N Fourth St
Suite a
Baldwyn, MS 38824-1121
Mailing address
808 Varsity Dr
Tupelo, MS 38801-4613
Phone (662) 377-2774
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009681293 | Medicaid | MS |
Other names
- Baldwyn Outpatient Rehab
Other providers in Baldwyn, MS
- Houston Discount Drugs
- Dustin J Kirk
- Elizabeth J Kirkpatrick
- Vicki Michelle Lambert
- Sharon Mitchell
- North Mississippi Medical Center, Inc.
- North Mississippi Medical Clinics Inc
- Northridge Pharmacy, Inc.
- Nursemed LLC
- Herman Talmadge Palmer
All providers in Baldwyn, MS · Rehabilitation Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.