WATER VALLEY MEDICAL CLINIC LLC
NPI 1487605499
Clinic/Center in Water Valley, MS

Active since May 15, 2006
712 S MAIN ST, WATER VALLEY, MS 38965(662) 473-1140(662) 473-1138 Get Directions Write a Review

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

About Water Valley Medical Clinic Llc NPPES

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

WATER VALLEY MEDICAL CLINIC LLC (NPI 1487605499) is a healthcare organization registered as a clinic/center in Water Valley, Mississippi and active in the NPI registry since May 2006. The organization lists Bojan Milicevic, Owner, as its authorized official.

NPPES Registry Identity

NPI1487605499
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWATER VALLEY MEDICAL CLINIC LLC
Location Address712 S MAIN STWater Valley, MS 38965-3334
Mailing Address411 Kimmons StWater Valley, MS 38965-2404 · (662) 473-1140 · Fax (662) 473-1138
Fax(662) 473-1138
Organization SubpartNo
Authorized OfficialBojan MilicevicOwner · (662) 473-1140
Enumeration DateMay 15, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1487605499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
712 S MAIN ST, Water Valley, MS 38965

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.

Clinic/Center (Primary Care)
712 S MAIN ST
WATER VALLEY, MS 38965
Nurse Practitioner (Family)
712 S MAIN ST
WATER VALLEY, MS 38965

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 Water Valley Medical Clinic LLC's NPI number?

The NPI number for Water Valley Medical Clinic LLC is 1487605499. It was assigned to this organization in the NPPES registry on May 15, 2006.

Where is Water Valley Medical Clinic LLC located?

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

What is Water Valley Medical Clinic LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Water Valley Medical Clinic LLC 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.