HICKORY FLAT CLINIC, LLC; NPI #1326380189

Contact Information

HICKORY FLAT CLINIC, LLC

250 OAK ST
HICKORY FLAT, MS 38633

Phone: 662-551-6492
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Health	261QC1500X

Indicates primary specialty

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NPI Profile & details for HICKORY FLAT CLINIC, LLC

NPI # 1326380189

LBN Legal business name HICKORY FLAT CLINIC, LLC

Authorized official STEPHANIE THOMPSON - (FNP)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/20/2013

Last updated 03/20/2013 - About 13 years ago

Identifiers

MS	License #	R855906
MS	Medicaid	09426886

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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