OrganizationActive
East-End Family Medical Clinic, LLC
NPI 1487118733 · Primary Care Clinic/Center · Cleveland, MS
Provider details
- NPI number
- 1487118733
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cassandra Shepard, Fnp/Administrator(662) 545-4674
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
140 North St
Cleveland, MS 38732-2744
Phone: (662) 545-4674
Fax: (662) 545-4715
Approximate (ZIP-level) locationGet directions
Mailing address
1500 N Bayou Rd
Cleveland, MS 38732-9723
Registry dates
- Enumerated
- 2019-01-30
- Last updated
- 2024-01-17
- Certified
- 2024-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.