REGIONAL MEDICAL CLINIC, LLC. – NPI #1932436813
Clinic/Center

REGIONAL MEDICAL CLINIC, LLC. is an AHC clinic located in BASSFIELD, MS. NPPES has assigned the NPI number 1932436813 to REGIONAL MEDICAL CLINIC, LLC. on November 12, 2009. 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

The NPI profile was previously updated about 11 years ago on Nov 03, 2015. 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 REGIONAL MEDICAL CLINIC, LLC. below.

NPI Profile for
REGIONAL MEDICAL CLINIC, LLC.

NPI Number
1932436813
Enumeration Date

(more than 16 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
REGIONAL MEDICAL CLINIC, LLC.
Primary location
4297 HIGHWAY 42
BASSFIELD, MS 39421-4424
Phone: (601) 943-5060 Fax: (601) 943-5888
Mailing address
PO BOX 68
BASSFIELD, MS 39421-0068
Phone: (601) 943-5060 Fax: (601) 943-5888
Organization Subpart
No
Authorized Official
ROY EVANS
OWNER/PHYSICIAN
Phone: (601) 943-5060
Updated
Identifiers

Identifiers for REGIONAL MEDICAL CLINIC, LLC.

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
OTHERPHYSICIAN NPI1952465619
MEDICAIDMS00111136
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 13317

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.