| Barksdale Missions, Llc | |
|
5374 Highway 45 N Columbus MS 39705-2947 | |
| (662) 368-2008 | |
| Not Available |
| Full Name | Barksdale Missions, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5374 Highway 45 N, Columbus, Mississippi |
| Authorized Official Name and Position | Ashley Barksdale (OWNER) |
| Authorized Official Contact | 9198022842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barksdale Missions, Llc 5374 Highway 45 N Columbus MS 39705-2947 Ph: (662) 368-2008 | Barksdale Missions, Llc 5374 Highway 45 N Columbus MS 39705-2947 Ph: (662) 368-2008 |
| NPI Number | 1760250419 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Medicare PECOS PAC ID | 1355792060 |
|---|---|
| Medicare Enrollment ID | O20240108000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760250419 | NPI | - | NPPES |
| Provider Name | Ashley Barksdale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609309145 PECOS PAC ID: 2264883974 Enrollment ID: I20240108000410 |
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