| Bellevue Elementary | |
|
1760 Old Highway 24 Hattiesburg MS 39402-8235 | |
| (601) 267-6727 | |
| (601) 450-0231 |
| Full Name | Bellevue Elementary |
|---|---|
| Speciality | Clinic/Center |
| Location | 1760 Old Highway 24, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Janice Robinson (CEO) |
| Authorized Official Contact | 6015458700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellevue Elementary Po Box 1729 Hattiesburg MS 39403-1729 Ph: (601) 545-8700 | Bellevue Elementary 1760 Old Highway 24 Hattiesburg MS 39402-8235 Ph: (601) 267-6727 |
| NPI Number | 1902502453 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Medicare PECOS PAC ID | 2466342605 |
|---|---|
| Medicare Enrollment ID | O20230420002989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902502453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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