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340 Desoto Avenue Ext Operations, LLC

Skilled Nursing Facility in Clarksdale, MS · enumerated 2022 · authorized official Tim Lehner, Managher.

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

National Provider Identifier

1932856531

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Registry record

Entity type Organization (Type 2)
Legal business name 340 Desoto Avenue Ext Operations, LLC
Other name <Unavail>
Practice address 340 Desoto Avenue Ext, Clarksdale, MS, 38614
Phone (253) 278-2258
Fax (662) 627-5654
Enumeration date Mar 4, 2022
Last updated in NPPES Sep 13, 2024

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Tim Lehner
Title Managher
Phone (770) 698-9040

Other identifiers

Identifier Type State Issuer
000230119 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

Who is the authorized official for 340 Desoto Avenue Ext Operations, LLC?
NPPES lists Tim Lehner (Managher) as the authorized official for this organization.
What is the NPI number for 340 Desoto Avenue Ext Operations, LLC?
The NPI for 340 Desoto Avenue Ext Operations, LLC is 1932856531, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-13.