OrganizationActive
Bolivar Physician Practices LLC
NPI 1205489689 · Rural Health Clinic/Center · Rosedale, MS
Provider details
- NPI number
- 1205489689
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charlotte Lawrence, Secretary(615) 920-7000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
512 Levee St
Rosedale, MS 38769-5507
Phone: (662) 759-6806
Fax: (662) 759-6771
Approximate (ZIP-level) locationGet directions
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Other names (DBA / former)
- Doing business as
- Rosedale Family Medical
Registry dates
- Enumerated
- 2019-07-24
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.