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VICKSBURG CLINIC LLC
NPI 1154532257
Durable Medical Equipment & Medical Supplies in Vicksburg, MS

Active since May 24, 2007
1115 N FRONTAGE RD, VICKSBURG, MS 39180(601) 634-8790 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vicksburg Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICKSBURG CLINIC LLC (NPI 1154532257) is a healthcare organization registered as a durable medical equipment & medical supplies in Vicksburg, Mississippi and active in the NPI registry since May 2007. The organization lists Debbie T Brewer, Vp, as its authorized official.

NPPES Registry Identity

NPI1154532257
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameVICKSBURG CLINIC LLC
Location Address1115 N FRONTAGE RDVicksburg, MS 39180-5102
Mailing Address1115 N Frontage RdVicksburg, MS 39180-5102 · (601) 634-8790
Phone(601) 634-8790
Organization SubpartNo
Authorized OfficialDebbie T BrewerVp · (877) 892-9813
Enumeration DateMay 24, 2007
Last NPPES UpdateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1154532257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1115 N FRONTAGE RD, Vicksburg, MS 39180
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS C MOORE MD
Pediatrics
1115 N FRONTAGE RD
VICKSBURG, MS 39180
Warren County (601) 634-8790
VICKSBURG CLINIC LLC
Internal Medicine (Infectious Disease)
1115 N FRONTAGE RD
VICKSBURG, MS 39180
Warren County (601) 634-8790
ANITA L TRIBBLE MD
Internal Medicine
1115 N FRONTAGE RD
VICKSBURG, MS 39180
Warren County (601) 634-8790
GORDON W SLUIS MD
Pediatrics
1115 N FRONTAGE RD
VICKSBURG, MS 39180
Warren County (601) 634-8790
PHILIP L SCURRIA MD
Psychiatry & Neurology (Psychiatry)
1115 N FRONTAGE RD
VICKSBURG, MS 39180
Warren County (601) 634-8790
REBECCA TUSTAIN NP
Nurse Practitioner
1115 N FRONTAGE RD
VICKSBURG, MS 39180
Warren County (601) 634-8790

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 Vicksburg Clinic LLC's NPI number?

The NPI number for Vicksburg Clinic LLC is 1154532257. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Vicksburg Clinic LLC located?

Vicksburg Clinic LLC is located at 1115 N Frontage Rd, Vicksburg, MS 39180. The listed phone number is (601) 634-8790.

What is Vicksburg Clinic LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Vicksburg Clinic LLC was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.