CALEDONIA MEDICAL CARE
NPI 1184056285
Specialist in Caledonia, MS
- Organization
- Specialist
About CALEDONIA MEDICAL CARE
This page provides the complete NPI Profile along with additional information for Caledonia Medical Care, a provider established in Caledonia, Mississippi operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1184056285 assigned on July 2013. The practitioner's primary taxonomy code is 174400000X with license number 15421 (MS). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Caledonia Medical Care. The authorized official of this NPI record is Alvin Ray Beezley Jr. D.o. (Provider)
- NPI
- 1184056285 Verify this NPI
- Provider Legal Name
- JRCO, LLC
- Other Organization Name
- CALEDONIA MEDICAL CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9692 WOLFE RD CALEDONIA, MS 39740
- Location Phone
- (662) 356-0320
- Location Fax
- (662) 356-0322
- Mailing Address
- 9692 WOLFE RD CALEDONIA, MS 39740
- Mailing Phone
- (662) 356-0320
- Mailing Fax
- (662) 356-0322
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-31-2013
- Last Update Date
- 07-31-2013
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 15421
- License State
- MS
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 512I110141 | OTHER (01) | MS | MEDICARE PTAN |
| F82085 | MEDICARE UPIN (02) | MS | |
| 07757360 | MEDICAID (05) | MS |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184056285, enumerated as an "organization" on July 31, 2013.
The provider is located at 9692 WOLFE RD CALEDONIA, MS 39740 and the phone number is (662) 356-0320.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
