| Access School Health - Nettleton | |
|
179 Mullen Ave Nettleton MS 38858-6033 | |
| (662) 963-2151 | |
| Not Available |
| Full Name | Access School Health - Nettleton |
|---|---|
| Speciality | Clinic/Center |
| Location | 179 Mullen Ave, Nettleton, Mississippi |
| Authorized Official Name and Position | Dana Ramey (FINANCE DIRECTOR) |
| Authorized Official Contact | 6626514686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access School Health - Nettleton Po Box 305 Smithville MS 38870-0305 Ph: (662) 651-4637 | Access School Health - Nettleton 179 Mullen Ave Nettleton MS 38858-6033 Ph: (662) 963-2151 |
| NPI Number | 1033755343 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 4082509492 |
|---|---|
| Medicare Enrollment ID | O20200827002068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033755343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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