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121 Medical Place, Inc

Community Health Clinic/Center in Mendenhall, MS · enumerated 2016 · authorized official Shelley Leach, President.

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

National Provider Identifier

1588106553

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Registry record

Entity type Organization (Type 2)
Legal business name 121 Medical Place, Inc
Practice address 820 Mangum Ave, Mendenhall, MS, 39114
Phone (601) 906-1897
Enumeration date Nov 8, 2016
Last updated in NPPES Aug 6, 2025

Taxonomy & classification

261QC1500X Community Health Clinic/Center Ambulatory Health Care Facilities · License R863242 (MS) Primary

Authorized official

Name Shelley Leach
Title President
Phone (601) 906-1897

Other identifiers

Identifier Type State Issuer
00476391 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 type of organization is 121 Medical Place, Inc?
121 Medical Place, Inc is registered in NPPES as a Community Health Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-06.