Access Family Health - Houlka Clinic | |
106 Walker St Houlka MS 38850 | |
(662) 568-3316 | |
(662) 568-3360 |
Full Name | Access Family Health - Houlka Clinic |
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Speciality | Clinic/Center |
Location | 106 Walker St, Houlka, Mississippi |
Authorized Official Name and Position | Marilyn Sumerford (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6626514686 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Access Family Health - Houlka Clinic Po Box 187 Houlka MS 38850-0187 Ph: (662) 568-3316 | Access Family Health - Houlka Clinic 106 Walker St Houlka MS 38850 Ph: (662) 568-3316 |
NPI Number | 1457461527 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/09/2011 |
Medicare PECOS PAC ID | 4082509492 |
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Medicare Enrollment ID | O20101006000536 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457461527 | NPI | - | NPPES |
09014672 | Medicaid | MS | |
DB3359 | Other | RAILROAD MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Gsv Care Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Third Avenue, Houlka, MS 38850 Phone: 662-568-2013 Fax: 662-568-2023 |