EMMANUEL RIDGE COMMUNITY HEALTH CLINIC
NPI 1679652754
Clinic/Center - Primary Care in Florence, MS

Active since November 02, 2006
2073 HIGHWAY 49 S, SUITE A, FLORENCE, MS 39073(601) 709-3301(601) 709-3308 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Emmanuel Ridge Community Health Clinic NPPES

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

EMMANUEL RIDGE COMMUNITY HEALTH CLINIC (NPI 1679652754) is a healthcare organization registered as a primary care in Florence, Mississippi and active in the NPI registry since November 2006. The organization lists Beatrice A Ezem, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1679652754
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEMMANUEL RIDGE COMMUNITY HEALTH CLINIC
Location Address2073 HIGHWAY 49 S, SUITE AFlorence, MS 39073-9422
Mailing Address2073 Highway 49 S, Suite AFlorence, MS 39073-9422 · (601) 709-3301 · Fax (601) 709-3308
Fax(601) 709-3308
Organization SubpartNo
Authorized OfficialBeatrice A EzemPresident/ceo · (601) 927-9839
Enumeration DateNovember 2, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1679652754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
2073 HIGHWAY 49 S, Florence, MS 39073

Other Identifiers 6

Other16022MS · Physician
Medicaid00119586MS
Medicaid04036718MS
OtherR850959MS · Fnp
Medicaid00121128MS
Other18216MS · Physician

Other Providers at the Same Location NPPES 4

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

Pharmacy (Long Term Care Pharmacy)
2073 HIGHWAY 49 S
FLORENCE, MS 39073
Respite Care
2073 HIGHWAY 49 S
FLORENCE, MS 39073
Homemaker
2073 HIGHWAY 49 S
FLORENCE, MS 39073
Chiropractor (Radiology)
2073 HIGHWAY 49 S, SUITE C
FLORENCE, MS 39073

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 Emmanuel Ridge Community Health Clinic's NPI number?

The NPI number for Emmanuel Ridge Community Health Clinic is 1679652754. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Emmanuel Ridge Community Health Clinic located?

Emmanuel Ridge Community Health Clinic is located at 2073 Highway 49 S Suite A, Florence, MS 39073. The listed phone number is (601) 709-3301.

What is Emmanuel Ridge Community Health Clinic'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 Emmanuel Ridge Community Health Clinic was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.