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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PREMISE HEALTH OF MISSISSIPPI MEDICAL PC

Active Organization

PREMISE HEALTH OF MISSISSIPPI MEDICAL PC is a Multi-Specialty Clinic organization located in FOREST, Mississippi. NPI 1619640562 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · FOREST, MS

Registration Details

NPI Number
1619640562
Provider Type
Organization
NPI Issued
Jul 27, 2021 (5.076252911799 yrs)
Last Updated
Feb 12, 2026

Practice Information

Address
1001 FOUNTAIN DR
FOREST, MS, 390744038
Browse MS providers · Browse ZIP 39074
Phone
6014690234
Primary Specialty
Multi-Specialty Clinic
261QM1300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.