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Contact Information

BAPTIST MEDICAL CLINIC - CLINTON
LBN MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC
106 CLINTON PARKWAY
CLINTON, MS39056
 Phone: 601-924-9005
 Fax: 601-925-9463
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BAPTIST MEDICAL CLINIC - CLINTON

NPI # 1124241245
LBN Legal business name MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC
DBA Doing business as BAPTIST MEDICAL CLINIC - CLINTON
Authorized official ELIZABETH MULLINS - (DIRECTOR OF CLINIC ADMINISTRATION)
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/10/2007
Last updated 07/09/2007 - About 12 years ago
Identifiers
MS Medicaid 09014808
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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