VICKSBURG CLINIC LLC – NPI #1659307791
Internal Medicine
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
VICKSBURG CLINIC LLC is a provider located in VICKSBURG, MS. NPPES has assigned the NPI number 1659307791 to VICKSBURG CLINIC LLC on June 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Infectious Disease Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 18 years ago on Nov 25, 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 VICKSBURG CLINIC LLC below.
NPI Profile for
VICKSBURG CLINIC LLC
(about 20 years ago)
VICKSBURG, MS 39180-5102 Phone: (601) 634-8790 Fax:
DIRECTOR OF PROVIDER ENROLLMENT
Phone: (877) 892-9813
Identifiers for VICKSBURG 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.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | LA | 1111716 | |
| MEDICAID | MS | 09015546 | |
| MEDICAID | MS | 09015545 | |
| MEDICAID | MS | 09015549 | |
| MEDICAID | MS | 00720204 | |
| MEDICAID | MS | 09015547 |
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 |
|---|---|---|
| 207RI0200X - Internal Medicine / Infectious Disease (Primary) |
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| 363L00000X - Nurse Practitioner |
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| 208800000X - Urology |
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| 208600000X - Surgery |
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| 2084N0400X - Psychiatry & Neurology / Neurology |
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| 208000000X - Pediatrics |
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| 207X00000X - Orthopaedic Surgery |
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| 207VX0000X - Obstetrics & Gynecology / Obstetrics |
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| 207RP1001X - Internal Medicine / Pulmonary Disease |
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| 207RC0000X - Internal Medicine / Cardiovascular Disease |
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| 207R00000X - Internal Medicine |
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| 207Q00000X - Family Medicine |
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| 207KA0200X - Allergy & Immunology / Allergy |
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.