CLAY COUNTY ADVANCED WOUND CENTER
NPI 1013318898
Clinic/Center in West Point, MS
- Organization
- Clinic/Center
- CLIA Number: 25D0671096
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 10-05-2026
About CLAY COUNTY ADVANCED WOUND CENTER
This page provides the complete NPI Profile along with additional information for Clay County Advanced Wound Center, a provider established in West Point, Mississippi operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1013318898 assigned on September 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Clay County Advanced Wound Center. The authorized official of this NPI record is Mr. Bruce Toppin (Secretary)
- NPI
- 1013318898 Verify this NPI
- Provider Legal Name
- CLAY COUNTY MEDICAL CORPORATION
- Other Organization Name
- CLAY COUNTY ADVANCED WOUND CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 830 MEDICAL CENTER DR WEST POINT, MS 39773
- Location Phone
- (662) 495-2128
- Location Fax
- (662) 495-2361
- Mailing Address
- 835 MEDICAL CENTER DR WEST POINT, MS 39773
- Mailing Phone
- (662) 495-2128
- Mailing Fax
- (662) 495-2361
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-11-2014
- Last Update Date
- 01-30-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D0671096
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- October 06, 2024
- Certificate Expiration Date
- October 05, 2026
- Laboratory Director
- DR. STEPHEN WILKERSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Clay County Advanced Wound Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
WEST POINT, MS 39773
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013318898, enumerated as an "organization" on September 11, 2014.
The provider is located at 830 MEDICAL CENTER DR WEST POINT, MS 39773 and the phone number is (662) 495-2128.
Clinic/Center with taxonomy code 261Q00000X.
