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2809 Denny Ave Pascagoula MS 39581-5301 | |
(228) 809-5000 | |
Not Available |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 2809 Denny Ave, Pascagoula, Mississippi |
Authorized Official Name and Position | Tiffany Murdock (CEO) |
Authorized Official Contact | 2288181195 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2101 Highway 90 Gautier MS 39553-5340 Ph: () - | 2809 Denny Ave Pascagoula MS 39581-5301 Ph: (228) 809-5000 |
NPI Number | 1134207392 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 10/26/2022 |
Certification Date | 10/26/2022 |
Medicare PECOS PAC ID | 3870405194 |
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Medicare Enrollment ID | O20080520000705 |
Identifier | Type | State | Issuer |
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1134207392 | NPI | - | NPPES |
000020059 | Other | MS | BLUE CROSS OF MS |
00020059 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (Mississippi) | Primary |
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