✓ Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center (261QP2300X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

BRIDGING COMMUNITY WITH HEALTHCARE, LLC (NPI #1043627987)

Clinic/Center, Primary Care • BROOKHAVEN, MS • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1043627987
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QP2300X
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
1005 W CONGRESS ST, BROOKHAVEN, MS, 39601-2603
✓ 9-Digit EDI 837 ZIP+4 (39601-2603)
Practice Phone & Referral Fax
Fax: (601) 833-9495
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1043627987 (BRIDGING COMMUNITY WITH HEALTHCARE, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1043627987 (NPI-2 Organization / Facility)
Provider / Legal NameBRIDGING COMMUNITY WITH HEALTHCARE, LLC
Plain-English SpecialtyLicensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
NUCC Code: 261QP2300X (Clinic/Center, Primary Care)
Certifying / Licensing BodyAccreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address1005 W CONGRESS ST, BROOKHAVEN, MS, 39601-2603
Practice Telephone / FaxTel: (601) 833-9388 | Fax: (601) 833-9495
Administrative Mailing Address1005 W CONGRESS ST, BROOKHAVEN, MS, 39601-2603
Enumeration & Last SyncEnumerated: 2014-07-11 | CMS Record Updated: 2025-04-17
Authorized OfficialELIZABETH BROWN (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1005 W CONGRESS ST, BROOKHAVEN, MS, 39601-2603

🗺️ Open in Google Maps 🏥 More Providers in BROOKHAVEN

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Plain-English Taxonomy & CMS Crosswalk (261QP2300X)

What Does Taxonomy Code 261QP2300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP2300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BRIDGING COMMUNITY WITH HEALTHCARE, LLC)

Typical CPT / Diagnostic Procedures:
  • Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
  • Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
Common Therapeutic Classes:
  • Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
225X00000X — Occupational Therapist
Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)
State: N/A | License: Verified | Primary: Secondary
261QM1300X — Clinic/Center, Multi-Specialty
Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
State: N/A | License: Verified | Primary: Secondary
261QP2300X — Clinic/Center, Primary Care
Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
State: MS | License: R880146 | Primary: Secondary
261QP2300X — Clinic/Center, Primary Care
Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
State: N/A | License: Verified | Primary: Yes (Primary)
314000000X — Skilled Nursing Facility
Plain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)
State: MS | License: R880146 | Primary: Secondary
Medical Billing, RCM & Hospital Credentialing Teams:
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