Organization · Type 2 NPI
Community Medical Center
Rural Health Clinic/Center · Lucedale, MS
NPI number
1194734913
Active
Practice location
92 W Ratliff Street
Lucedale, MS 39452-6537
Fax (601) 947-4411
Mailing address
PO Box 1007
Lucedale, MS 39452-1007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
Other rural health clinic/center providers in Lucedale
About NPI 1194734913
Community Medical Center's National Provider Identifier is 1194734913, issued on Aug 8, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lucedale, MS. The record was last updated on Feb 4, 2020.