VICKSBURG CLINIC LLC - NPI 1659307791 - Internal Medicine in Vicksburg, MS

Q: What is Vicksburg Clinic LLC's NPI number?

The NPI number for Vicksburg Clinic LLC is 1659307791. It was assigned to this organization in the NPPES registry on June 23, 2006.

Q: What is Vicksburg Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

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About Vicksburg Clinic Llc NPPES

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

VICKSBURG CLINIC LLC (NPI 1659307791) is a healthcare organization registered as an infectious disease in Vicksburg, Mississippi and active in the NPI registry since June 2006. The organization lists Debbie T Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1659307791

Entity TypeOrganization

Primary Taxonomy207RI0200X

Legal Business NameVICKSBURG CLINIC LLC

Location Address1115 N FRONTAGE RDVicksburg, MS 39180-5102

Mailing Address1115 N Frontage RdVicksburg, MS 39180-5102 · (601) 634-8790

Phone(601) 634-8790

Organization SubpartNo

Authorized OfficialDebbie T BrewerDirector Of Provider Enrollment · (877) 892-9813

Enumeration DateJune 23, 2006

Last NPPES UpdateNovember 25, 2008

✔ NPI 1659307791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedSurgeryTaxonomy 208600000X

Also ListedUrologyTaxonomy 208800000X

Also ListedNurse PractitionerTaxonomy 363L00000X

1115 N FRONTAGE RD, Vicksburg, MS 39180

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Other Identifiers 8

Medicaid09015545MS

Medicaid00720204MS

Medicaid09015547MS

Medicare PINC02561MS

Medicare PINCH4242MS

Medicaid1111716LA

Medicaid09015549MS

Medicaid09015546MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

Other Providers at the Same Location NPPES 6

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

VICKSBURG CLINIC LLC

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