| |
1555 Lee Dr Clarksdale MS 38614-2914 | |
(662) 624-4292 | |
(662) 624-4354 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1555 Lee Dr, Clarksdale, Mississippi |
Authorized Official Name and Position | Aurelia Jones-taylor (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6626244292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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510 Highway 322 P O Box 1216 Clarksdale MS 38614-4717 Ph: (662) 624-4292 | 1555 Lee Dr Clarksdale MS 38614-2914 Ph: (662) 624-4292 |
NPI Number | 1609312891 |
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Provider Enumeration Date | 01/11/2017 |
Last Update Date | 01/26/2023 |
Identifier | Type | State | Issuer |
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1609312891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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