BETHANY MEDICAL CLINIC, LLC; NPI #1487792032

Contact Information

BETHANY MEDICAL CLINIC, LLC

548 EAST ROSEMARY ROAD
SUITE B
CLEVELAND, MS 38732

Phone: 662-846-5032
Fax: 662-846-5034
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

Edit contact information

NPI Profile & details for BETHANY MEDICAL CLINIC, LLC

NPI # 1487792032

LBN Legal business name BETHANY MEDICAL CLINIC, LLC

Authorized official RICKY MOORE - (INS. CLERK)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/02/2007

Last updated 03/09/2010 - About 16 years ago

Identifiers

MS	License #	R793654
MS	Medicaid	07021837

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.

Reviews for BETHANY MEDICAL CLINIC, LLC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for BETHANY MEDICAL CLINIC, LLC
Be the first to post a comment or review.

Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Physician Assistants & APNs

KATHRYN M JAMES, FNP
840 N OAK AVE
RULEVILLE, MS

SHIRLEY KIMBLE
106 POND STREET EXT
DODDSVILLE, MS

QUALITY FAMILY CARE LLC
310 HWY 82 WEST, SUITE D
INDIANOLA, MS

HEALTHY LIVING FAMILY MEDICAL CENTER LLC
820 ASHLAND AVENUE
GUNNISION, MS

WYCONDAROGA E THOMAS
820 ASHLAND AVENUE
GUNNISON, MS

GLENDORA CLINIC
44 WESTBROOKS AVE
GLENDORA, MS

HEATHER LLOYD, CFNP
201 BAKER BLVD
LELAND, MS

TASHA RUCKER, FNP
2372 US49-E
SUMNER, MS

COURT SQUARE RURAL HEALTH CLINIC
406 EAST COURT ST.
SUMNER, MS

SONJA PENNINGTON, CNP
2372 US-49E UNIT 240
SUMNER, MS

View all Physician Assistants & APNs

BETHANY MEDICAL CLINIC, LLC

Contact Information

Specialty

Family

NPI Profile & details for BETHANY MEDICAL CLINIC, LLC

Reviews for BETHANY MEDICAL CLINIC, LLC