STRAYHORN FAMILY MEDICAL CLINIC, LLC; NPI #1245798008

Contact Information

STRAYHORN FAMILY MEDICAL CLINIC, LLC

3509 HIGHWAY 4 W
SARAH, MS 38665

Phone: 662-612-6411
Fax: 662-612-6414
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	363LP2300X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for STRAYHORN FAMILY MEDICAL CLINIC, LLC

NPI # 1245798008

LBN Legal business name STRAYHORN FAMILY MEDICAL CLINIC, LLC

Authorized official ROBYNN ROSS - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/11/2019

Last updated 10/09/2019 - About 7 years ago

Identifiers

Medicaid

04733217

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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STRAYHORN FAMILY MEDICAL CLINIC, LLC

Contact Information

Specialty

Primary Care

NPI Profile & details for STRAYHORN FAMILY MEDICAL CLINIC, LLC

Reviews for STRAYHORN FAMILY MEDICAL CLINIC, LLC