Organization · Type 2 NPI

Winston Medical Clinic LLC

Rural Health Clinic/Center · Noxapater, MS

NPI number 1588091714 Active

Practice location

90 East Main Street
Noxapater, MS 39346

Call (662) 724-4051 Map

Fax (662) 724-4054

Mailing address

PO Box 470
Louisville, MS 39339-0470

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

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

NPI record

NPI: 1588091714
Entity type: Organization (Type 2)
Issued: Oct 2, 2013
Last updated: Feb 9, 2017
Status: Active
Subpart: Yes of Winston Medical Clinic LLC

Other names

<unavail>
Winston Medical Clinic Noxapater · doing business as

Authorized official

Debra J Fryery
Director of Clinic Operations
(662) 446-1972

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1588091714

Winston Medical Clinic LLC's National Provider Identifier is 1588091714, issued on Oct 2, 2013. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Noxapater, MS. The record was last updated on Feb 9, 2017.