| Blue Mountain Family Medicine Clinic | |
|
124 North Guyton Blue Mountain MS 38610 | |
| (662) 685-4700 | |
| (662) 685-9999 |
| Full Name | Blue Mountain Family Medicine Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 124 North Guyton, Blue Mountain, Mississippi |
| Authorized Official Name and Position | Thomas Ford Barkley (VP) |
| Authorized Official Contact | 6626854700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mountain Family Medicine Clinic 124 North Guyton Blue Mountain MS 38610 Ph: (662) 685-4700 | Blue Mountain Family Medicine Clinic 124 North Guyton Blue Mountain MS 38610 Ph: (662) 685-4700 |
| NPI Number | 1235113069 |
|---|---|
| Provider Enumeration Date | 12/05/2005 |
| Last Update Date | 11/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235113069 | NPI | - | NPPES |
| 09014529 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Cotton Plant Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 County Road 714, Blue Mountain, MS 38610 Phone: 662-538-4111 Fax: 662-538-4128 |