| Access School Health - North Pontotoc | |
|
8324 Highway 15 N Ecru MS 38841-9749 | |
| (662) 489-5613 | |
| (662) 488-9162 |
| Full Name | Access School Health - North Pontotoc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8324 Highway 15 N, Ecru, Mississippi |
| Authorized Official Name and Position | Shelia Cowley (DATA & REPORTING MANAGER) |
| Authorized Official Contact | 6626514637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access School Health - North Pontotoc Po Box 305 Smithville MS 38870-0305 Ph: (662) 651-4637 | Access School Health - North Pontotoc 8324 Highway 15 N Ecru MS 38841-9749 Ph: (662) 489-5613 |
| NPI Number | 1902398381 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 4082509492 |
|---|---|
| Medicare Enrollment ID | O20180718000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902398381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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