WOLFE FAMILY MEDICAL CLINIC PLLC; NPI #1316152010

Contact Information

WOLFE FAMILY MEDICAL CLINIC PLLC

203 E WALNUT ST
CHARLESTON, MS 38921

Phone: 662-647-0900
Fax: 662-647-0938
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 WOLFE FAMILY MEDICAL CLINIC PLLC

NPI Number 1316152010

LBN Legal business name WOLFE FAMILY MEDICAL CLINIC PLLC

Authorized official CARLENE WOLFE - (NURSE PRACTITIONER OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/14/2007

Last updated 03/31/2008 - About 18 years ago

Identifiers

Medicaid

08184344

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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