HAZLEHURST CLINIC – NPI #1356448591
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

HAZLEHURST CLINIC is a provider located in HAZLEHURST, MS. NPPES has assigned the NPI number 1356448591 to HAZLEHURST CLINIC on September 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HAZLEHURST CLINIC” is a dba name, the actual legal business name for this organization is COPIAH COUNTY MEDICAL CENTER. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Sep 22, 2022. 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 HAZLEHURST CLINIC below.

NPI Profile for
COPIAH COUNTY MEDICAL CENTER

NPI Number
1356448591
Enumeration Date

(more than 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
COPIAH COUNTY MEDICAL CENTER
Doing Business As (dba): HAZLEHURST CLINIC
Primary location
213 CALDWELL DR
HAZLEHURST, MS 39083
Phone: (601) 894-2514 Fax: (601) 894-2514
Mailing address
27190 HWY 28
HAZLEHURST, MS 39083
Phone: (601) 574-7200 Fax: (601) 894-2514
Organization Subpart
Yes - HAZLEHURST CLINIC is subpart of another organization.
Authorized Official
KORTNEY GADDY
CFO
Phone: (601) 574-7200
Updated
Certification Date
Sep 22, 2022

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 HAZLEHURST 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.

See identifiers
DescriptionIssuerStateIdentifier
medicaidMS00113908
medicaidMS00122024
medicaidMS09013707
medicaidMS00012939
medicaidMS00119484
medicaidMS00011981
medicaidMS00116996
medicaidMS00015329
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
207Q00000X
- Family Medicine (Primary)
MS

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.