PREVENTATIVE MEDICINE AND PRIMARY CARE
NPI 1720402266
Clinic/Center - Primary Care in Gautier, MS

Active since February 04, 2014
3300 LADNIER RD, GAUTIER, MS 39553(228) 497-2652 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Preventative Medicine And Primary Care NPPES

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

PREVENTATIVE MEDICINE AND PRIMARY CARE (NPI 1720402266) is a healthcare organization registered as a primary care in Gautier, Mississippi and active in the NPI registry since February 2014. The organization lists Rick Dean Hoover, Owner, as its authorized official.

NPPES Registry Identity

NPI1720402266
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREVENTATIVE MEDICINE AND PRIMARY CARE
Location Address3300 LADNIER RDGautier, MS 39553-5909
Mailing Address3300 Ladnier RdGautier, MS 39553-5909 · (228) 497-2652
Organization SubpartNo
Authorized OfficialRick Dean HooverOwner · (228) 497-2652
Enumeration DateFebruary 4, 2014
NPI 1720402266 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 · 15373
3300 LADNIER RD, Gautier, MS 39553

Other Identifiers 2

Medicaid00118337MS
Medicare UPING50099

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.

Nurse Practitioner (Family)
3300 LADNIER RD
GAUTIER, MS 39553
Clinic/Center (Primary Care)
3300 LADNIER RD
GAUTIER, MS 39553
Family Medicine
3300 LADNIER RD
GAUTIER, MS 39553
Family Medicine
3300 LADNIER RD
GAUTIER, MS 39553

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 Preventative Medicine And Primary Care's NPI number?

The NPI number for Preventative Medicine And Primary Care is 1720402266. It was assigned to this organization in the NPPES registry on February 4, 2014.

Where is Preventative Medicine And Primary Care located?

Preventative Medicine And Primary Care is located at 3300 Ladnier Rd, Gautier, MS 39553. The listed phone number is (228) 497-2652.

What is Preventative Medicine And Primary Care'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 Preventative Medicine And Primary Care was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.