| Brookhaven Medical Center | |
|
785 Ohio Ave 2d Clarksdale MS 38614-6217 | |
| (662) 624-5565 | |
| (662) 624-9971 |
| Full Name | Brookhaven Medical Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 785 Ohio Ave, Clarksdale, Mississippi |
| Authorized Official Name and Position | Deborah Brooks (PHYSICIAN) |
| Authorized Official Contact | 6626245565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookhaven Medical Center 785 Ohio Ave 2d Clarksdale MS 38614-6217 Ph: (662) 624-5565 | Brookhaven Medical Center 785 Ohio Ave 2d Clarksdale MS 38614-6217 Ph: (662) 624-5565 |
| NPI Number | 1972639060 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972639060 | NPI | - | NPPES |
| 00576075 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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