TISHOMINGO HEALTH CARE ASSOCIATES – NPI #1740676378
Clinic/Center

TISHOMINGO HEALTH CARE ASSOCIATES is an AHC clinic located in TISHOMINGO, MS. NPPES has assigned the NPI number 1740676378 to TISHOMINGO HEALTH CARE ASSOCIATES on April 10, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TISHOMINGO HEALTH CARE ASSOCIATES” is a dba name, the actual legal business name for this organization is NORTH MISSISSIPPI PRIMARY 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 3 years ago on Jun 12, 2023. 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 TISHOMINGO HEALTH CARE ASSOCIATES below.

NPI Profile for
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.

NPI Number
1740676378
Enumeration Date

(more than 11 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
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Doing Business As (dba): TISHOMINGO HEALTH CARE ASSOCIATES
Primary location
1310 MAIN ST
TISHOMINGO, MS 38873
Phone: (662) 471-9416 Fax: (662) 438-7760
Mailing address
15921 BOUNDARY DR
PO BOX 92
ASHLAND, MS 38603-7740
Phone: (662) 224-8951 Fax: (662) 224-6801
Organization Subpart
Yes - TISHOMINGO HEALTH CARE ASSOCIATES is subpart of another organization.
Authorized Official
SHERRI ROGERS
BILLING MANAGER
Phone: (662) 224-8951
Updated
Certification Date
Jun 02, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TISHOMINGO HEALTH CARE ASSOCIATES

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
medicaidMS09011971
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.