Box Family Medicine Clinic

Organization Active NPI Family Medicine Physician · Ripley, MS

NPI 1992084339 · NPPES record last updated Aug 16, 2011

Key facts

NPI
1992084339
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
BOX FAMILY MEDICINE CLINIC
Practice address
118 Hospital Street
Ripley, MS 38663-0000
Phone
(662) 837-2143
NPI assigned
Aug 16, 2011
Organization subpart
No

Authorized official

Name
Tom Hood
Title
Ceo
Phone
(662) 837-2143

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

118 Hospital Street
Ripley, MS 38663-0000

Mailing address

PO Box 502
Ripley, MS 38663-0502
Phone (662) 837-2143

Other providers in Ripley, MS

All providers in Ripley, MS · Family Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.