MCMEDICAL COUNTRY CLINIC LLC
NPI 1760035232
Clinic/Center - Health Service in Carrollton, MS
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 25D2306259
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 06-12-2028
About MCMEDICAL COUNTRY CLINIC LLC
This page provides the complete NPI Profile along with additional information for Mcmedical Country Clinic Llc, a provider established in Carrollton, Mississippi operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1760035232 assigned on July 2019. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jessica Pamplin (Vp, Revenue Cycle Mgmt)
- NPI
- 1760035232 Verify this NPI
- Provider Name
- MCMEDICAL COUNTRY CLINIC LLC
- Entity Type
- Organization
- Location Address
- 19441 HIGHWAY 82 CARROLLTON, MS 38917
- Location Phone
- (662) 595-4114
- Location Fax
- (662) 595-4117
- Mailing Address
- 19441 HIGHWAY 82 CARROLLTON, MS 38917
- Mailing Phone
- (662) 595-4114
- Mailing Fax
- (662) 595-4117
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-23-2019
- Last Update Date
- 02-12-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2306259
- Facility Type
- Community Clinic
- Certificate Effective Date
- June 13, 2026
- Certificate Expiration Date
- June 12, 2028
- Laboratory Director
- CAROL MCCRIMMON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mcmedical Country Clinic Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760035232, enumerated as an "organization" on July 23, 2019.
The provider is located at 19441 HIGHWAY 82 CARROLLTON, MS 38917 and the phone number is (662) 595-4114.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
