Organization · Type 2 NPI

Vicksburg Clinic LLC

Rural Health Clinic/Center · Vicksburg, MS

NPI number 1174494975 Active

Practice location

3317 Pemberton Square Blvd
Vicksburg, MS 39180-5578

Call (601) 636-1173 Map

Fax (601) 630-9674

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

Other rural health clinic/center providers in Vicksburg

See all in Vicksburg →

About NPI 1174494975

Vicksburg Clinic LLC's National Provider Identifier is 1174494975, issued on Sep 15, 2025. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Vicksburg, MS. The record was last updated on Sep 15, 2025.