| Campbell Family Clinic | |
|
580 Friars Point Rd Clarksdale MS 38614-9734 | |
| (662) 624-4316 | |
| (662) 621-1151 |
| Full Name | Campbell Family Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 580 Friars Point Rd, Clarksdale, Mississippi |
| Authorized Official Name and Position | Miller Vance (AREA MANAGER) |
| Authorized Official Contact | 6626248000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Family Clinic 785 Ohio Ave Suite 3g Clarksdale MS 38614-6217 Ph: (662) 624-8000 | Campbell Family Clinic 580 Friars Point Rd Clarksdale MS 38614-9734 Ph: (662) 624-4316 |
| NPI Number | 1063654721 |
|---|---|
| Provider Enumeration Date | 03/27/2009 |
| Last Update Date | 12/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063654721 | NPI | - | NPPES |
| 03426211 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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