| NPI | 1174696330 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-11-16 |
| Last Updated | 2008-03-13 |
| Authorized Official | William Thompson PRESIDENT Phone: 6627466083 |
| Mailing Address | Po Box 1509 Yazoo City, MS 39194-1509 United States Phone: (662) 746-6083 | Fax: (662) 746-1954 📍 View Map |
| Primary Practice Address | 805 E Fifteenth St Yazoo City, MS 39194-7607 United States Phone: (662) 746-6083 | Fax: (662) 746-1954 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MS | 09012127 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | MS | 05855 |
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About NPI 1174696330
Yazoo City Medical Clinic Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1174696330. The primary specialty listed is Family Medicine. The organization is located in Yazoo City, MS. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174696330?
NPI 1174696330 belongs to Yazoo City Medical Clinic Pa, a Family Medicine in Yazoo City, MS. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174696330 active?
The current status of NPI 1174696330 in the NPPES registry is Active. The record was last updated on 2008-03-13.
What specialty is NPI 1174696330?
NPI 1174696330 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174696330?
You can verify NPI 1174696330 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174696330?
The primary practice address on file for NPI 1174696330 is 805 E Fifteenth St, Yazoo City, MS 39194-7607. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174696330 issued?
NPI 1174696330 was first issued (enumerated) on 2006-11-16. The NPPES record was last updated on 2008-03-13.
Practice Location Map
Yazoo City Medical Clinic Pa is located at 805 E Fifteenth St, Yazoo City, MS. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Yazoo City Medical Clinic Pa. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174696330. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 05855 | MS |