OrganizationActive
Impacting Lives LLC
NPI 1063370831 · Primary Care Clinic/Center · Oxford, MS
Provider details
- NPI number
- 1063370831
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Vinson, Owner(662) 404-7177
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2304 Jackson Ave W Ste 101
Oxford, MS 38655-5624
Phone: (662) 404-7177
Fax: (662) 769-3839
Approximate (ZIP-level) locationGet directions
Mailing address
2304 Jackson Ave W Ste 101
Oxford, MS 38655-5624
Registry dates
- Enumerated
- 2026-01-12
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.