Provider Type Icon

NEW ALBANY OB/GYN CLINIC PC NPI 1851573737


NPI Information

NPI: 1851573737
Provider Name: NEW ALBANY OB/GYN CLINIC PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 25D1006299

Address:
117 FAIRFIELD DR
NEW ALBANY, MS
ZIP 38652
Phone: (662) 534-0029
Get Directions

NEW ALBANY OB/GYN CLINIC PC is a clinic center in New Albany, MS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NEW ALBANY OB/GYN CLINIC PC NPI is 1851573737. The provider is registered as an organization entity type.

The provider's business location address is:

117 FAIRFIELD DR
NEW ALBANY, MS
ZIP 38652-107
Phone: (662) 534-0029

The provider's authorized official is Regina Russell .
The authorized official title is Insurance Clerk and has the following contact phone number (662) 534-0029.

The CLIA number assigned to this NPI record is 25D1006299 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 9/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H36783MEDICARE UPINMISSISSIPPI
209016189MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.