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Mission Primary Care Clinic Pllc

Family Medicine Physician in Vicksburg, MS · enumerated 2007 · authorized official Bill Fulcher, Adm.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487852018

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Registry record

Entity type Organization (Type 2)
Legal business name Mission Primary Care Clinic Pllc
Practice address 1901 Mission 66, Vicksburg, MS, 39180
Phone (601) 636-0097
Fax (601) 629-9969
Enumeration date Jul 5, 2007
Last updated in NPPES May 25, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R829001 (MS) Secondary

Authorized official

Name Bill Fulcher
Title Adm
Phone (601) 636-0097

Other identifiers

Identifier Type State Issuer
04935090 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mission Primary Care Clinic Pllc?
The NPI for Mission Primary Care Clinic Pllc is 1487852018, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mission Primary Care Clinic Pllc?
NPPES lists Bill Fulcher (Adm) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-25.