COTTON PLANT FAMILY CLINIC
NPI 1891911186
Clinic/Center - Rural Health in Blue Mountain, MS

Active since April 17, 2007
100 COUNTY ROAD 714, BLUE MOUNTAIN, MS 38610(662) 538-4111(662) 538-4128 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cotton Plant Family Clinic NPPES

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

COTTON PLANT FAMILY CLINIC (NPI 1891911186) is a healthcare organization registered as a rural health in Blue Mountain, Mississippi and active in the NPI registry since April 2007. The organization lists Phyllis G Koonce, Owner Sole Provider, as its authorized official.

NPPES Registry Identity

NPI1891911186
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePHYLLIS G KOONCE
Location Address100 COUNTY ROAD 714Blue Mountain, MS 38610-9743
Mailing Address100 County Road 714Blue Mountain, MS 38610-9743 · (662) 538-4111 · Fax (662) 538-4128
Fax(662) 538-4128
Organization SubpartNo
Authorized OfficialPhyllis G KoonceOwner Sole Provider · (662) 538-4111
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 7, 2008
NPI 1891911186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in MS · R125960
100 COUNTY ROAD 714, Blue Mountain, MS 38610

Other Names 1

Doing Business AsCotton Plant Family Clinic

Other Identifiers 3

Medicaid06577891MS
Medicare UPINS34270MS
Medicare ID-Type Unspecified258973MS

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
100 COUNTY ROAD 714
BLUE MOUNTAIN, MS 38610
Clinic/Center (Rural Health)
100 COUNTY ROAD 714
BLUE MOUNTAIN, MS 38610
Clinic/Center (Rural Health)
100 COUNTY ROAD 714
BLUE MOUNTAIN, MS 38610

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 Phyllis G Koonce's NPI number?

The NPI number for Phyllis G Koonce is 1891911186. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Cotton Plant Family Clinic.

Where is Phyllis G Koonce located?

Phyllis G Koonce is located at 100 County Road 714, Blue Mountain, MS 38610. The listed phone number is (662) 538-4111.

What is Phyllis G Koonce's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Phyllis G Koonce was last updated on July 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.