Cal-Med LLC
NPI 1417410911ActiveOrganization· Family Medicine· Vicksburg, MS
Family Medicine in Vicksburg, Mississippi, registered in NPPES in April 2019. The authorized official on file is William Fulcher, Mgr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417410911 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2019 |
| Last updated in NPPES | Sep 17, 2024 |
| Certified by provider | Sep 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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