EUDORA MEDICAL CENTER LLC – NPI #1255043493
Family Medicine
The NUCC recommends this code not be used. Choose a more appropriate code.
EUDORA MEDICAL CENTER LLC is a provider located in HERNANDO, MS. NPPES has assigned the NPI number 1255043493 to EUDORA MEDICAL CENTER LLC on December 19, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. EUDORA MEDICAL CENTER LLC is also known by the name EUDORA MEDICAL CLINIC. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine
The NPI profile was previously updated about 3 years ago on Mar 06, 2023. 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 EUDORA MEDICAL CENTER LLC below.
NPI Profile for
EUDORA MEDICAL CENTER LLC
(more than 3 years ago)
HERNANDO, MS 38632-6812 Phone: (662) 589-6290 Fax: (662) 649-6085
OWNER
Phone: (662) 589-6290
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 for EUDORA MEDICAL CENTER 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | MS NURSING/NP LICENSE | MS | 879057 |
| medicaid | MS | 03003882 |
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 |
|---|---|---|
| 207QA0505X - Family Medicine / Adult Medicine (Primary) |
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.