COFFEEVILLE MEDICAL CLINIC
NPI 1639236383
Clinic/Center - Primary Care in Coffeeville, MS

Active since January 02, 2007
14430 MAIN ST, COFFEEVILLE, MS 38922(662) 675-2500(662) 675-2501 Get Directions Write a Review

NPPES record last updated: February 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coffeeville Medical Clinic NPPES

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

COFFEEVILLE MEDICAL CLINIC (NPI 1639236383) is a healthcare organization registered as a primary care in Coffeeville, Mississippi and active in the NPI registry since January 2007. The organization lists Terry L Varner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639236383
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameYALOBUSHA GENERAL HOSPITAL
Location Address14430 MAIN STCoffeeville, MS 38922-2590
Mailing Address14430 Main StCoffeeville, MS 38922-2590 · (662) 675-2500 · Fax (662) 675-2501
Fax(662) 675-2501
Organization SubpartNo
Authorized OfficialTerry L VarnerAdministrator · (662) 473-1411
Enumeration DateJanuary 2, 2007
Last NPPES UpdateFebruary 9, 2010
NPI 1639236383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
14430 MAIN ST, Coffeeville, MS 38922

Other Names 1

Doing Business AsCoffeeville Medical Clinic

Other Identifiers 6

Medicare UPINB31038
Medicare UPINP96376
Medicare OSCAR/certification500002312
Medicare OSCAR/certification08264669
Medicaid00120194MS
Medicaid9014717MS

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 General Hospital's NPI number?

The NPI number for Yalobusha General Hospital is 1639236383. It was assigned to this organization in the NPPES registry on January 2, 2007. The provider is doing business as Coffeeville Medical Clinic.

Where is Yalobusha General Hospital located?

Yalobusha General Hospital is located at 14430 Main St, Coffeeville, MS 38922. The listed phone number is (662) 675-2500.

What is Yalobusha General Hospital's specialty?

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

When was this NPI record last updated?

The NPPES record for Yalobusha General Hospital was last updated on February 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.