KING'S DAUGHTERS PRIMARY CARE CLINIC
NPI 1003680729
Clinic/Center - Rural Health in Brookhaven, MS
About King's Daughters Primary Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KING'S DAUGHTERS PRIMARY CARE CLINIC (NPI 1003680729) is a healthcare organization registered as a rural health in Brookhaven, Mississippi and active in the NPI registry since November 2023. The organization holds 3 active CLIA laboratory certificates and lists Scott Christensen, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA 3
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 25D2051532
King's Daughters Primary Care Clinic · Brookhaven, MSCertificate of Accreditation 25D0030284
Kings Daughters Medical Center -Blood Gas Lab · Brookhaven, MSCertificate of Waiver 25D0920735
King's Daughters Medical Center Nursing Service · Brookhaven, MSOther Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKHAVEN, MS 39601
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is King's Daughters Medical Center's NPI number?
The NPI number for King's Daughters Medical Center is 1003680729. It was assigned to this organization in the NPPES registry on November 13, 2023. The provider is doing business as King's Daughters Primary Care Clinic.
Where is King's Daughters Medical Center located?
King's Daughters Medical Center is located at 940 Brookway Blvd, Brookhaven, MS 39601. The listed phone number is (601) 823-5000.
What is King's Daughters Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does King's Daughters Medical Center hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for King's Daughters Medical Center was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# King's Daughters Primary Care Clinic · NPI 1003680729
Rural Health organization in Brookhaven, Mississippi. Organization record, active in the CMS NPPES registry since November 13, 2023.
## Identity
- **NPI:** 1003680729 (Entity type: Organization)
- **Enumerated:** November 13, 2023
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** King's Daughters Medical Center
- **Organization subpart:** No
- **Authorized official:** Scott Christensen, CEO
## Practice location
- **Address:** 940 BROOKWAY BLVD, Brookhaven, MS 39601-2644
- **Phone:** (601) 823-5000
## Record status
- **NPPES last updated:** November 13, 2023
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003680729) · Data from the CMS NPPES public registry.