<unavail> in Ecru, MS - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Ecru, Mississippi. The current practice location for is 8324 Highway 15 N, Ecru, Mississippi. For appointments, you can reach them via phone at (662) 489-5613. The mailing address for is Po Box 305, Smithville, Mississippi and phone number is (662) 651-4637.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1902398381. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (662) 489-5613.

Contact Information


	8324 Highway 15 N Ecru MS 38841-9749
	(662) 489-5613
	(662) 488-9162

Map and Direction

Primary Care Clinic Profile

Full Name
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 and Practice Location

Mailing Address	Practice Location Address
Po Box 305 Smithville MS 38870-0305 Ph: (662) 651-4637	8324 Highway 15 N Ecru MS 38841-9749 Ph: (662) 489-5613

NPI Details:

NPI Number	1902398381
Provider Enumeration Date	06/01/2018
Last Update Date	06/16/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	4082509492
Medicare Enrollment ID	O20180718000176

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902398381	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Ecru, MS

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Main St, Ecru, MS 38841 Phone: 662-489-4345
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Highway 346, Ecru, MS 38841 Phone: 662-489-2669 Fax: 662-489-2670
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Main Street, Ecru, MS 38841 Phone: 662-489-4345 Fax: 662-489-8975
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6543 Ms-15, Ecru, MS 38841 Phone: 662-489-2669

- Medicare Primary Care in Ecru, MS