WATER VALLEY RURAL HEALTH PAUL ODOM MD
NPI 1912070277
Clinic/Center - Rural Health in Water Valley, MS

Q: What is Water Valley Rural Health Paul Odom MD's specialty?

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

Active since November 16, 2006

645 SOUTH MAIN STREET, WATER VALLEY, MS 38965(662) 473-1311(662) 473-2489 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Water Valley Rural Health Paul Odom Md NPPES

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

WATER VALLEY RURAL HEALTH PAUL ODOM MD (NPI 1912070277) is a healthcare organization registered as a rural health in Water Valley, Mississippi and active in the NPI registry since November 2006. The organization lists Paul Leroy Odom, Owner, as its authorized official.

NPPES Registry Identity

NPI1912070277

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameWATER VALLEY RURAL HEALTH PAUL ODOM MD

Location Address645 SOUTH MAIN STREETWater Valley, MS 38965

Mailing AddressPo Box 725, 645 S Main StreetWater Valley, MS 38965 · (662) 473-1311 · Fax (662) 473-2489

Phone(662) 473-1311

Fax(662) 473-2489

Organization SubpartNo

Authorized OfficialPaul Leroy OdomOwner · (662) 473-1311

Enumeration DateNovember 16, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1912070277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

645 SOUTH MAIN STREET, Water Valley, MS 38965

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Other Identifiers 2

Medicaid09013597MS

Other253848Medicare Riverbend

Other Providers at the Same Location NPPES

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

YALOBUSHA GENERAL HOSPITAL

Clinic/Center (Rural Health)

645 SOUTH MAIN STREET
WATER VALLEY, MS 38965

Yalobusha County (662) 473-1311

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 Water Valley Rural Health Paul Odom MD's NPI number?

The NPI number for Water Valley Rural Health Paul Odom MD is 1912070277. It was assigned to this organization in the NPPES registry on November 16, 2006.

Where is Water Valley Rural Health Paul Odom MD located?

Water Valley Rural Health Paul Odom MD is located at 645 South Main Street, Water Valley, MS 38965. The listed phone number is (662) 473-1311.

What is Water Valley Rural Health Paul Odom MD'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 Water Valley Rural Health Paul Odom MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.