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RKM PRIMARY
NPI 1245364876
Clinic/Center in Gloster, MS

Active since March 15, 2007CLIA 19D0960606 · Waiver
6002 HANCOCK RD, GLOSTER, MS 39638(601) 225-7206 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rkm Primary NPPES

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

RKM PRIMARY (NPI 1245364876) is a healthcare organization registered as a clinic/center in Gloster, Mississippi and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Bryan Michael Baker, Rn, as its authorized official.

NPPES Registry Identity

NPI1245364876
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameRKM PRIMARY
Location Address6002 HANCOCK RDGloster, MS 39638-6133
Mailing Address6002 Hancock RdGloster, MS 39638-6133 · (601) 225-7206
Phone(601) 225-7206
Organization SubpartNo
Authorized OfficialBryan Michael BakerRn · (225) 683-5292
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245364876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in LA · RN114253
Definition
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).
6002 HANCOCK RD, Gloster, MS 39638
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CLIA Laboratory Certificates CMS CLIA

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 Waiver 19D0960606

Rkm Primary Care · Clinton, LA
Active · expires May 13, 2027
CLIA Number19D0960606
Laboratory TypeOther
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorDarie S. Gilliam
Laboratory Phone(225) 683-5292
Laboratory LocationRkm Primary Care11990 Jackson Street, Clinton, LA 70722
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rkm Primary's NPI number?

The NPI number for Rkm Primary is 1245364876. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Rkm Primary located?

Rkm Primary is located at 6002 Hancock Rd, Gloster, MS 39638. The listed phone number is (601) 225-7206.

What is Rkm Primary's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Rkm Primary hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0960606) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rkm Primary was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.