CRAWFORD MOBILE HEALTH CLINIC — NPI 1245506377 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in MACON, MS)

CMS-1500 Box 24J / 33a • NPI

1245506377

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QR1300X (CMS B4[14])

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

15865 HIGHWAY 14 WEST, MACON, MS, 39341-0402

✓ 9-Digit EDI 837 ZIP+4 (39341-0402)

Practice Phone & Referral Fax

(662) 435-7800

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1245506377 (CRAWFORD MOBILE HEALTH CLINIC) 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 Number	`1245506377` (NPI-2 Organization / Facility)
Provider / Legal Name	CRAWFORD MOBILE HEALTH CLINIC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QR1300X` (Clinic/Center, Rural Health)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	15865 HIGHWAY 14 WEST, MACON, MS, 39341-0402
Practice Telephone / Fax	Tel: (662) 435-7800
Administrative Mailing Address	PO BOX 95, CRAWFORD, MS, 39743-0095
Enumeration & Last Sync	Enumerated: 2012-03-22 \| CMS Record Updated: 2012-03-22
Authorized Official	FELICIA EDWARDS (Manaing Partner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

15865 HIGHWAY 14 WEST, MACON, MS, 39341-0402

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Plain-English Taxonomy & CMS Crosswalk (261QR1300X)

What Does Taxonomy Code 261QR1300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QR1300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Rural Health Clinic)
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 (CRAWFORD MOBILE HEALTH CLINIC)

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 Description	State License & Primary Status
`261QP2300X` — Clinic/Center, Primary Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: MS \| License: `R740067` \| Primary: Secondary
`261QR1300X` — Clinic/Center, Rural Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: MS \| License: `R740067` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CRAWFORD MOBILE HEALTH CLINIC (NPI #1245506377)