NPI 1154358158 · live from the CMS NPI Registry
Ben Med, INC.
Family Medicine in Jonestown, MS. National Provider Identifier 1154358158, active.
NPI record
| NPI | 1154358158 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 280 Second Street, Jonestown, MS 38639 |
| Practice phone | 662-358-4377 |
| Mailing address | Po Box 139, Jonestown, MS 38639 |
| Enumerated | June 26, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Bennie Brown, Ceo |
| Other names | Jonestown Health Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 18711 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.