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Contact Information

ULTIMATE CARE MEDICAL CLINIC PROFESSIONAL CORPORATION
900 STARK RD
STARKVILLE, MS39759-3613
 Phone: 662-694-2420
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for ULTIMATE CARE MEDICAL CLINIC PROFESSIONAL CORPORATION

NPI Number 1801528591
LBN Legal business name ULTIMATE CARE MEDICAL CLINIC PROFESSIONAL CORPORATION
Authorized official RUSHAUNDA NASH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2022
Last updated 03/08/2023 - About 3 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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