Barksdale Missions, Llc | |
5374 Highway 45 N Columbus MS 39705-2947 | |
(662) 368-2008 | |
Not Available |
Full Name | Barksdale Missions, Llc |
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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 |
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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 |
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Provider Enumeration Date | 12/12/2023 |
Last Update Date | 04/12/2024 |
Certification Date | 04/12/2024 |
Medicare PECOS PAC ID | 1355792060 |
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Medicare Enrollment ID | O20240108000308 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760250419 | NPI | - | NPPES |
Provider Name | Ashley Barksdale |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609309145 PECOS PAC ID: 2264883974 Enrollment ID: I20240108000410 |
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