The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1629282330 |
NPI Entity Type | Organization |
Provider Name |
Woodland Clinic Llc
Former Legal Business Name |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 120 Market St, Woodland, MS, US |
Provider Mailing Address | Po Box 186, Woodland, MS, US, 397760186 |
Is Sole Proprietor? | No |
Official Name | Jerry Sullivan |
Official Position | OWNER |
Phone | 662-456-0111 |
Taxonomy Code | 193400000X |
Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Taxonomy Code | |
Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician |
Classification | |
Group | |
Description | A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
0112415 | MS | MEDICAID | 05 |
0114346 | MS | MEDICAID | 05 |
09014809 | MS | MEDICAID | 05 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
MISS MOT, OTR/L, SCLV Shirley Blanton Individual |
706 Highway 82 W |
||
DO Madison Leigh Lindgren Individual |
2500 N State St |
||
Optimum Occupational Therapy Services, Llc Organization |
706 Highway 82 W |
||
Jacqueline Cartwright Individual |
3171 Quartz Dr |
||
MSN, APRN, FNP-C Felisa Jeannette Hall Individual |
1046 Division St |
||
IDD WAIVER SERVICES Debbie Jones Individual |
405 N First St |
||
IDD WAIVER SERVICES Beverly Johnson Individual |
1406 Mississippi Dr |
||
CRISIS SERVICES Jaricia Kinchen Individual |
934 West Dr |
||
IDD WAIVER SERVICES Monolisa Keyes Individual |
1224 Hillcrest Dr |
||
IDD WAIVER SERVICES Felicia Keller Individual |
405 N First St |
||
IDD WAIVER SERVICES Sharika Jones Individual |
106 Mize St Apt 26 |
||
IDD WAIVER SERVICES Loverta Jones Individual |
5192 Highway 11 N |
||
IDD WAIVER SERVICES Tamekia Mckines Individual |
119 Chambliss Dr |
||
Mary Fowler Individual |
5192 Highway 11 N |
||
IDD WAIVER SERVICES Porosha Gaines Individual |
106 Mize St Apt 26 |
||
DNP, APRN, AGACNP-BC Jo'niece Phillips Redmond Individual |
232 Market St |
||
IDD WAIVER SERVICES Fraxine Graves Individual |
1110 42nd Ave |
||
IDD WAIVER SERVICES Judy Jones Individual |
405 N First St |
||
IDD WAIVER SERVICES Michael Mcdonald Individual |
41 Bonhomie Rd |
||
IDD WAIVER SERVICES Pamela Mcandrews Individual |
106 Mize St Apt 26 |
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