Organization · Type 2 NPI

Northeast Mental Health-Mental Retardation Commission

Rural Health Clinic/Center · Tupelo, MS

NPI number 1679903546 Active

Practice location

499 Gloster Creek Vlg, Suite A-3
Tupelo, MS 38801-4600

Call (662) 844-1717 Map

Fax (662) 680-6416

Mailing address

2434 S Eason Blvd
Tupelo, MS 38804-6942

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 1679903546

Northeast Mental Health-Mental Retardation Commission's National Provider Identifier is 1679903546, issued on Nov 13, 2013. 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 Feb 27, 2020.