Provider Demographics
NPI:1952591877
Name:BMC LLC.
Entity Type:Organization
Organization Name:BMC LLC.
Other - Org Name:BURNSVILLE MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:662-423-3628
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38833-0307
Mailing Address - Country:US
Mailing Address - Phone:662-427-9977
Mailing Address - Fax:662-427-8877
Practice Address - Street 1:603B HIGHWAY 365
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MS
Practice Address - Zip Code:38833
Practice Address - Country:US
Practice Address - Phone:662-427-9977
Practice Address - Fax:662-427-8877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center