121 Medical Place, Inc
121 Medical Place, Inc is a Community Health Clinic/Center in Mendenhall, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.
- Licensed in
- MS
- In the registry since
- 2016
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
820 Mangum AveMendenhall, MS 39114-3025
Phone: (601) 906-1897
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Clinic/Center (primary) | Taxonomy 261QC1500X · Licence R863242 (MS) |
|---|
Record details
| NPI number | 1588106553 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shelley Leach — President · (601) 906-1897 |
| NPI enumerated | November 8, 2016 |
| Last updated in NPPES | August 6, 2025 |
| Certification date | August 6, 2025 |
| Mailing address | 820 Mangum Ave, Mendenhall, MS 39114-3025 |