| Anchored Hope Clinic | |
|
423 Weathersby Rd Ste 180 Hattiesburg MS 39402-1132 | |
| (601) 376-9144 | |
| (601) 429-9300 |
| Full Name | Anchored Hope Clinic |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 423 Weathersby Rd Ste 180, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Racheal Pritchett (MEMBER) |
| Authorized Official Contact | 6013769144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchored Hope Clinic 423 Weathersby Rd Ste 180 Hattiesburg MS 39402-1132 Ph: (601) 376-9144 | Anchored Hope Clinic 423 Weathersby Rd Ste 180 Hattiesburg MS 39402-1132 Ph: (601) 376-9144 |
| NPI Number | 1093485930 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 01/15/2022 |
| Certification Date | 01/15/2022 |
| Medicare PECOS PAC ID | 8123426012 |
|---|---|
| Medicare Enrollment ID | O20211007000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093485930 | NPI | - | NPPES |
| Provider Name | Racheal Marie Pritchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174068076 PECOS PAC ID: 2163841677 Enrollment ID: I20201002001307 |
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