| Progressive Health Of Houston--gero | |
|
1002 E Madison St Houston MS 38851-2428 | |
| (662) 456-3700 | |
| (662) 456-1717 |
| Full Name | Progressive Health Of Houston--gero |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1002 E Madison St, Houston, Mississippi |
| Authorized Official Name and Position | Robert Quentin Whitwell (CEO) |
| Authorized Official Contact | 6627019346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Health Of Houston--gero Po Box 626 Houston MS 38851-0626 Ph: (662) 456-3700 | Progressive Health Of Houston--gero 1002 E Madison St Houston MS 38851-2428 Ph: (662) 456-3700 |
| NPI Number | 1376300749 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 07/26/2024 |
| Certification Date | 07/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376300749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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