Organization · Type 2 NPI

Tunica County Healthcare Authority

Rural Health Clinic/Center · Tunica Resorts, MS

NPI number 1629164512 Active

Practice location

11273 U S Highway 61 North
Tunica Resorts, MS 38664

Call (662) 363-3224 Map

Fax (662) 363-3234

Mailing address

PO Box 789
Tunica, MS 38676-0789

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	09015211 (MS)

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

NPI record

NPI: 1629164512
Entity type: Organization (Type 2)
Issued: Oct 5, 2006
Last updated: Jun 18, 2018
Status: Active

Other names

<unavail>
Tunica Resorts Medical Clinic · doing business as
Tunica Resorts Medical Clinic · doing business as

Authorized official

Barbara Conway
Clinic Operations Officer
(662) 363-3224

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 1629164512

Tunica County Healthcare Authority's National Provider Identifier is 1629164512, issued on Oct 5, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Tunica Resorts, MS. The record was last updated on Jun 18, 2018.