Organization · Type 2 NPI
Bolivar Physician Practices LLC
Rural Health Clinic/Center · Rosedale, MS
NPI number
1205489689
Active
Practice location
512 Levee St
Rosedale, MS 38769-5507
Fax (662) 759-6771
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1205489689
Bolivar Physician Practices LLC's National Provider Identifier is 1205489689, issued on Jul 24, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Rosedale, MS. The record was last updated on Jun 4, 2026.