National Provider Identifier Database

HICKORY FLAT CLINIC LLC
Community Health


Contact Information

HICKORY FLAT CLINIC, LLC
250 OAK ST
HICKORY FLAT, MS38633
Phone: 662-551-6492
Fax:
Website:
Specialty Taxonomy Code
* Community Health 261QC1500X

* Indicates primary specialty

NPI Profile & details for HICKORY FLAT CLINIC, LLC

NPI Number 1326380189
Legal business name
LBN
HICKORY FLAT CLINIC, LLC
Authorized official STEPHANIE THOMPSON - (FNP)
Entity Organization
Organization subpart No
Enumeration date 03/20/2013
Last updated 03/20/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: R855906
  • MS Medicaid: 09426886

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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