Organization Name: | TWINCARE FAMILY CLINIC |
NPI Number: | 1225157159 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CINDY O HOLCOMB (OWNER) |
Mailing Address: | 2686 Hwy 145 S Suite B Saltillo |
State: | MS US |
Postal Code: | 38866 |
Phone Number: | 6628698693 |
Fax Number: | 6628690110 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 09/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 258966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |