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YALOBUSHA MEDICAL CLINIC, LLC
NPI 1295090009
Clinic/Center - Primary Care in Water Valley, MS

Active since July 08, 2012CLIA 25D2044245 · Waiver
712 S MAIN ST, WATER VALLEY, MS 38965(662) 473-1140(662) 473-1138 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yalobusha Medical Clinic, Llc NPPES

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

YALOBUSHA MEDICAL CLINIC, LLC (NPI 1295090009) is a healthcare organization registered as a primary care in Water Valley, Mississippi and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through July 18, 2028 and lists Cinnamon Foster, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1295090009
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameYALOBUSHA MEDICAL CLINIC, LLC
Location Address712 S MAIN STWater Valley, MS 38965-3334
Mailing Address712 S Main StWater Valley, MS 38965-3334 · (662) 473-1140 · Fax (662) 473-1138
Phone(662) 473-1140
Fax(662) 473-1138
Organization SubpartNo
Authorized OfficialCinnamon FosterSole Member · (662) 473-1140
Enumeration DateJuly 8, 2012
Last NPPES UpdateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1295090009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MS · R872547
712 S MAIN ST, Water Valley, MS 38965
Open in Google Maps ↗

Other Identifiers 1

Other1659607232Npi, Type 1

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 25D2044245

Yalobusha Medical Clinic, LLC · Water Valley, MS
Active · expires Jul 18, 2028
CLIA Number25D2044245
Laboratory TypePractitioner Other
Certificate Effective DateJuly 19, 2026
Certificate Expiration DateJuly 18, 2028
Laboratory DirectorCinnamon C. Foster
Laboratory Phone(662) 473-1140
Laboratory LocationYalobusha Medical Clinic, LLC712 South Main Street, Water Valley, MS 38965
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

WATER VALLEY MEDICAL CLINIC LLC
Clinic/Center
712 S MAIN ST
WATER VALLEY, MS 38965
Yalobusha County (662) 473-1140
MS. CINNAMON CARYL FOSTER MSN, FNP-BC
Nurse Practitioner (Family)
712 S MAIN ST
WATER VALLEY, MS 38965
Yalobusha County (662) 473-1140

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 Yalobusha Medical Clinic, LLC's NPI number?

The NPI number for Yalobusha Medical Clinic, LLC is 1295090009. It was assigned to this organization in the NPPES registry on July 8, 2012.

Where is Yalobusha Medical Clinic, LLC located?

Yalobusha Medical Clinic, LLC is located at 712 S Main St, Water Valley, MS 38965. The listed phone number is (662) 473-1140.

What is Yalobusha Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Yalobusha Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2044245) is associated with this NPI, valid through July 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Yalobusha Medical Clinic, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Yalobusha Medical Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yalobusha Medical Clinic, LLC was last updated on April 5, 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.