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595 East Veterans Avenue Suite B Calhoun City MS 38916 | |
(662) 628-1337 | |
(662) 628-1346 |
Full Name | |
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Speciality | Clinic/Center |
Location | 595 East Veterans Avenue, Calhoun City, Mississippi |
Authorized Official Name and Position | Bruce Toppin (CORPORATE SECRETARY) |
Authorized Official Contact | 6623774229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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808 Varsity Dr Tupelo MS 38801-4613 Ph: (662) 377-3204 | 595 East Veterans Avenue Suite B Calhoun City MS 38916 Ph: (662) 628-1337 |
NPI Number | 1407302151 |
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Provider Enumeration Date | 08/31/2016 |
Last Update Date | 01/21/2025 |
Medicare PECOS PAC ID | 6901892421 |
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Medicare Enrollment ID | O20160930000379 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407302151 | NPI | - | NPPES |
007582369 | Medicaid | MS | |
25-8618 | Other | MS | MEDICARE - RURAL HEALTH |
C00081 | Other | MS | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 13225 (Mississippi) | Primary |
Calhoun City Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Burke - Calhoun City Road, Calhoun City, MS 38916 Phone: 662-628-5116 Fax: 662-628-5117 | |
Family Health Care Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Legion Ave, Calhoun City, MS 38916 Phone: 601-825-7280 Fax: 601-825-8130 | |