MID-SOUTH CONVENIENT CARE, PLLC; NPI #1063938520

Contact Information

MID-SOUTH CONVENIENT CARE, PLLC

1445 US HIGHWAY 51 BYP E STE B
DYERSBURG, TN 38024-2127

Phone: 731-286-1900
Fax: 731-286-1900
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for MID-SOUTH CONVENIENT CARE, PLLC

NPI #	`1063938520`
LBN Legal business name	MID-SOUTH CONVENIENT CARE, PLLC
Authorized official	PATRICIA OWEN - (ADMIN)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/16/2017
Last updated	08/16/2017 - About 9 years 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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