Provider Demographics
NPI:1225157159
Name:TWINCARE FAMILY CLINIC
Entity Type:Organization
Organization Name:TWINCARE FAMILY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:O
Authorized Official - Last Name:HOLCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:CFNP
Authorized Official - Phone:662-869-8963
Mailing Address - Street 1:PO BOX 448
Mailing Address - Street 2:
Mailing Address - City:SALTILLO
Mailing Address - State:MS
Mailing Address - Zip Code:38866-0448
Mailing Address - Country:US
Mailing Address - Phone:662-869-8693
Mailing Address - Fax:662-869-0110
Practice Address - Street 1:2686 HWY 145 S
Practice Address - Street 2:SUITE B
Practice Address - City:SALTILLO
Practice Address - State:MS
Practice Address - Zip Code:38866
Practice Address - Country:US
Practice Address - Phone:662-869-8693
Practice Address - Fax:662-869-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06489045Medicaid
MS1053387969OtherWENDY O HOWELL'S NPI
MS1942276845OtherCINDY O HOLCOMB'S NPI
MS1942276845OtherCINDY O HOLCOMB'S NPI
MSP53566Medicare UPIN
MS258966Medicare ID - Type UnspecifiedRURAL HEALTH NUMBER
MS06489045Medicaid