| Angel Wings Community Healthcare Center Llc | |
|
215 Magnolia St Magnolia MS 39652-2827 | |
| (601) 869-0299 | |
| (601) 680-3216 |
| Full Name | Angel Wings Community Healthcare Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Magnolia St, Magnolia, Mississippi |
| Authorized Official Name and Position | Latoya Cameron (OWNER) |
| Authorized Official Contact | 6018690299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Wings Community Healthcare Center Llc 215 Magnolia St Magnolia MS 39652-2827 Ph: (601) 869-0299 | Angel Wings Community Healthcare Center Llc 215 Magnolia St Magnolia MS 39652-2827 Ph: (601) 869-0299 |
| NPI Number | 1053099077 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/10/2023 |
| Medicare PECOS PAC ID | 4486015708 |
|---|---|
| Medicare Enrollment ID | O20230803000877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053099077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Latoya Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619530425 PECOS PAC ID: 9830521905 Enrollment ID: I20230803000945 |
Lampton Medical Associates, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 S Cherry St, Magnolia, MS 39652 Phone: 601-248-8586 Fax: 601-981-5542 | |
Magnolia Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Magnolia St, Magnolia, MS 39652 Phone: 601-783-0374 Fax: 601-783-5126 | |
Beacham Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 E Myrtle St, Magnolia, MS 39652 Phone: 601-783-2353 Fax: 601-783-9003 | |
Beacham Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 N Cherry St, Magnolia, MS 39652 Phone: 601-783-2353 Fax: 601-783-9003 | |
Beacham Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 N Cherry St, Magnolia, MS 39652 Phone: 601-783-2353 Fax: 601-783-9003 |