| Bolivar Medical Center | |
|
901 E Sunflower Rd Cleveland MS 38732-2833 | |
| (662) 846-0061 | |
| (662) 846-2380 |
| Full Name | Bolivar Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 901 E Sunflower Rd, Cleveland, Mississippi |
| Authorized Official Name and Position | Kathy Teague (VICE PRESIDENT, CORPORATE SECRETARY) |
| Authorized Official Contact | 6292535121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bolivar Medical Center 330 Seven Springs Way Brentwood TN 37027-4536 Ph: (615) 920-7000 | Bolivar Medical Center 901 E Sunflower Rd Cleveland MS 38732-2833 Ph: (662) 846-0061 |
| NPI Number | 1306142062 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 6608848270 |
|---|---|
| Medicare Enrollment ID | O20110223000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306142062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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