Organization · Type 2 NPI

Northeast Mental Health-Mental Retardation Commission

Rural Health Clinic/Center · Tupelo, MS

NPI number 1548413628 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Fax (662) 680-6416

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center 261QM1300XNone listed
Rural Health Clinic/Center Primary 261QR1300XNone listed

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

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About NPI 1548413628

Northeast Mental Health-Mental Retardation Commission's National Provider Identifier is 1548413628, issued on Nov 3, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Tupelo, MS. The record was last updated on Mar 20, 2014.