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Contact Information

ADVANCE MEDICAL HOUSE CALLS & FAMILY CLINIC
LBN ADVANCE MEDICAL HOUSE CALLS
299 HIGHWAY 51 STE F1
RIDGELAND, MS39157
 Phone: 601-397-4079
 Fax: 601-398-2149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ADVANCE MEDICAL HOUSE CALLS & FAMILY CLINIC

NPI Number 1104318286
LBN Legal business name ADVANCE MEDICAL HOUSE CALLS
DBA Doing business as ADVANCE MEDICAL HOUSE CALLS & FAMILY CLINIC
Authorized official TYE ROLLINS - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2018
Last updated 08/17/2018 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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