FOUNDATION INTERNAL MEDICINE, P.C. – NPI #1255531885
Clinic/Center

FOUNDATION INTERNAL MEDICINE, P.C. is an AHC clinic located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1255531885 to FOUNDATION INTERNAL MEDICINE, P.C. on July 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

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 FOUNDATION INTERNAL MEDICINE, P.C. below.

NPI Profile for
FOUNDATION INTERNAL MEDICINE, P.C.

NPI Number
1255531885
Enumeration Date

(about 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
FOUNDATION INTERNAL MEDICINE, P.C.
Primary location
401 SOUTHCREST CIR
SUITE 207
SOUTHAVEN, MS 38671-6726
Phone: (662) 349-9292 Fax: (662) 349-8603
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KENNETH EDMUNDS
MEDICAL DIRECTOR/PRESIDENT
Phone: (662) 349-9292
Updated
Identifiers

Identifiers for FOUNDATION INTERNAL MEDICINE, P.C.

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
MEDICAIDMS09015617
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
261QP2300X
- Clinic/Center / Primary Care (Primary)		 MS 14060
261QM2500X
- Clinic/Center / Medical Specialty		 MS 14060

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.