WHEELER FAMILY MEDICAL CLINIC – NPI #1770672339
Clinic/Center
WHEELER FAMILY MEDICAL CLINIC is an AHC clinic located in BOONEVILLE, MS. NPPES has assigned the NPI number 1770672339 to WHEELER FAMILY MEDICAL CLINIC on October 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WHEELER FAMILY MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is AMY BENJAMIN. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health
The NPI profile was previously updated about 18 years ago on Jul 28, 2008. 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 WHEELER FAMILY MEDICAL CLINIC below.
NPI Profile for
AMY BENJAMIN
(more than 19 years ago)
BOONEVILLE, MS 38829 Phone: (662) 365-0200 Fax: (662) 365-0199
WHEELER, MS 38880-0095 Phone: (662) 365-0200 Fax: (662) 365-0199
OFFICE MANAGER
Phone: (662) 365-0200
Identifiers for WHEELER FAMILY MEDICAL 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | CLINIC UPIN | C03567 | |
| OTHER | MEDICAID GROUP | 04071559 | |
| MEDICAID | MS | 04071559 | |
| MEDICAID | MS | 03904817 |
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 |
|---|---|---|
| 261QR1300X - Clinic/Center / Rural Health (Primary) |
||
| 363LF0000X - Nurse Practitioner / Family |
MS | R850588 |
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.