Brooksville Medical Clinic | |
139 North Oliver Street Brooksville MS 39739 | |
(662) 738-4424 | |
(662) 438-4615 |
Full Name | Brooksville Medical Clinic |
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Speciality | Clinic/Center |
Location | 139 North Oliver Street, Brooksville, Mississippi |
Authorized Official Name and Position | Danny H Mckay (ADMINISTRATOR) |
Authorized Official Contact | 6627264231 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brooksville Medical Clinic Po Box 480 Macon MS 39341-0480 Ph: (662) 738-4424 | Brooksville Medical Clinic 139 North Oliver Street Brooksville MS 39739 Ph: (662) 738-4424 |
NPI Number | 1669657565 |
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Provider Enumeration Date | 01/09/2008 |
Last Update Date | 10/22/2010 |
Medicare PECOS PAC ID | 9335130798 |
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Medicare Enrollment ID | O20080122000728 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669657565 | NPI | - | NPPES |
09014825 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Brooksville Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 N. Oliver St., Brooksville, MS 39739 Phone: 662-738-4424 Fax: 662-738-4615 |