MT. PLEASANT FAMILY HEALTH CLINIC – NPI #1386792992
Clinic/Center

MT. PLEASANT FAMILY HEALTH CLINIC is an AHC clinic located in MOUNT PLEASANT, MS. NPPES has assigned the NPI number 1386792992 to MT. PLEASANT FAMILY HEALTH CLINIC on January 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MT. PLEASANT FAMILY HEALTH CLINIC” is a dba name, the actual legal business name for this organization is NORTHEAST MISSISSIPPI HEALTH CARE, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 16 years ago on Nov 17, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MT. PLEASANT FAMILY HEALTH CLINIC below.

NPI Profile for
NORTHEAST MISSISSIPPI HEALTH CARE, INC.

NPI Number
1386792992
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHEAST MISSISSIPPI HEALTH CARE, INC.
Doing Business As (dba): MT. PLEASANT FAMILY HEALTH CLINIC
Primary location
154 MT. PLEASANT ROAD
MOUNT PLEASANT, MS 38649
Phone: (662) 851-7939 Fax: (662) 851-9053
Mailing address
12 EAST BRUNSWICK AVE.
P.O. BOX 698
BYHALIA, MS 38611
Phone: (662) 851-7939 Fax: (662) 851-9053
Organization Subpart
No
Authorized Official
MARJORIE MCKINNEY
EXECUTIVE DIRECTOR
Phone: (662) 838-2163
Updated
Identifiers

Identifiers for MT. PLEASANT FAMILY HEALTH CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS9015490
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.