Bmc Attala Kosciusko Primary Care | |
220 Highway 12 W Kosciusko MS 39090-3208 | |
(662) 289-4311 | |
(662) 290-3255 |
Full Name | Bmc Attala Kosciusko Primary Care |
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Speciality | Clinic/Center |
Location | 220 Highway 12 W, Kosciusko, Mississippi |
Authorized Official Name and Position | Gregory M Duckett (SR VP/CLO) |
Authorized Official Contact | 9012275233 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bmc Attala Kosciusko Primary Care 350 N Humphreys Blvd Memphis TN 38120-2177 Ph: (662) 289-4311 | Bmc Attala Kosciusko Primary Care 220 Highway 12 W Kosciusko MS 39090-3208 Ph: (662) 289-4311 |
NPI Number | 1023481595 |
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Provider Enumeration Date | 11/05/2015 |
Last Update Date | 09/30/2020 |
Medicare PECOS PAC ID | 6204142771 |
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Medicare Enrollment ID | O20160210001733 |
Identifier | Type | State | Issuer |
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1023481595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Trace Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 662-289-9155 Fax: 662-289-7752 | |
Trace Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 662-289-9155 Fax: 662-289-7752 | |
Kosciusko Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 332 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-1800 | |
Fast Pace Mississippi, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 931-253-1101 Fax: 931-722-9919 |