HICKORY FLAT FAMILY CLINIC LLC – NPI #1669649570
Clinic/Center

HICKORY FLAT FAMILY CLINIC LLC is an AHC clinic located in HICKORY FLAT, MS. NPPES has assigned the NPI number 1669649570 to HICKORY FLAT FAMILY CLINIC LLC on May 09, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 HICKORY FLAT FAMILY CLINIC LLC below.

NPI Profile for
HICKORY FLAT FAMILY CLINIC LLC

NPI Number
1669649570
Enumeration Date

(more than 18 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
HICKORY FLAT FAMILY CLINIC LLC
Primary location
250 OAK STREET
HICKORY FLAT, MS 38633
Phone: (662) 333-6378 Fax:
Mailing address
PO BOX 128
HICKORY FLAT, MS 38633-0128
Phone: (662) 333-6387 Fax:
Organization Subpart
No
Authorized Official
DENISE GOSSETT
NURSE PRACTITIONER
Phone: (662) 202-5685
Updated
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 R687235

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.