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Phyllis G Koonce

Rural Health Clinic/Center in Blue Mountain, MS · enumerated 2007 · authorized official Phyllis Koonce, Owner Sole Provider.

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

National Provider Identifier

1891911186

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Registry record

Entity type Organization (Type 2)
Legal business name Phyllis G Koonce
Other name <Unavail>
Practice address 100 County Road 714, Blue Mountain, MS, 38610
Phone (662) 538-4111
Fax (662) 538-4128
Enumeration date Apr 17, 2007
Last updated in NPPES Jul 7, 2008

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities · License R125960 (MS) Primary

Authorized official

Name Phyllis Koonce
Title Owner Sole Provider
Phone (662) 538-4111

Other identifiers

Identifier Type State Issuer
06577891 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 Phyllis G Koonce?
The NPI for Phyllis G Koonce is 1891911186, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Phyllis G Koonce?
NPPES lists Phyllis Koonce (Owner Sole Provider) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-07.