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135 E Oxford St Pontotoc MS 38863-2111 | |
(662) 489-3336 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 135 E Oxford St, Pontotoc, 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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Po Box 305 Smithville MS 38870-0305 Ph: (662) 651-4637 | 135 E Oxford St Pontotoc MS 38863-2111 Ph: (662) 489-3336 |
NPI Number | 1366004657 |
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Provider Enumeration Date | 07/08/2019 |
Last Update Date | 08/08/2019 |
Medicare PECOS PAC ID | 4082509492 |
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Medicare Enrollment ID | O20190909001767 |
Identifier | Type | State | Issuer |
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1366004657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Redmed, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Brookes Xing, Pontotoc, MS 38863 Phone: 662-489-4044 | |
Flavia H West Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 S Main St, Pontotoc, MS 38863 Phone: 662-489-5038 Fax: 662-489-7004 | |