Treesap Clinic, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R732656 Issued in MS

Legal business name

TREESAP CLINIC, INC.

Practice address

28301 Highway 15
Walnut, MS 38683-9753

Phone

(662) 223-0063

Fax

(662) 223-0079

NPI assigned

Nov 15, 2007

Last updated

Nov 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James W. Taylor

Title

Owner

Phone

(662) 223-0063

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1861673139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28301 HIGHWAY 15",
            "city": "WALNUT",
            "state": "MS",
            "postal_code": "386839753",
            "telephone_number": "662-223-0063",
            "fax_number": "662-223-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28301 HIGHWAY 15",
            "city": "WALNUT",
            "state": "MS",
            "postal_code": "386839753",
            "telephone_number": "662-223-0063",
            "fax_number": "662-223-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREESAP CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-223-0063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "R732656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265451991",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03333061",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Mississippi Primary Health Care, Inc. (Walnut Dental Center)
• Jessica Gail Prather, APRN, FNP-C
• Rhonda M. Taylor, FNP
• Vivian Theil
• Tippah County Hospital (Tippah Care Walnut)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3866)

• Primary Care Clinic/Center in Walnut, MS
• Providers in Walnut, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.