Centreville Clinic | |
178 Highway 24 E Ste A Centreville MS 39631-4171 | |
(601) 890-0520 | |
(601) 645-5088 |
Full Name | Centreville Clinic |
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Speciality | Clinic/Center |
Location | 178 Highway 24 E Ste A, Centreville, Mississippi |
Authorized Official Name and Position | Jeremy Chad Netterville (ADMINISTRATOR) |
Authorized Official Contact | 6018900545 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centreville Clinic 178 Highway 24 E Ste A Centreville MS 39631-4171 Ph: (601) 890-0520 | Centreville Clinic 178 Highway 24 E Ste A Centreville MS 39631-4171 Ph: (601) 890-0520 |
NPI Number | 1134166812 |
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Provider Enumeration Date | 06/01/2006 |
Last Update Date | 09/12/2019 |
Medicare PECOS PAC ID | 0547248544 |
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Medicare Enrollment ID | O20071205000483 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134166812 | NPI | - | NPPES |
C02787 | Other | CAHABA | |
09016302 | Medicaid | MS | |
1444669 | Medicaid | LA |
Fmch Field Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 E Main St, Centreville, MS 39631 Phone: 601-645-5361 | |
Fmch Centreville Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 West Howard St, Centreville, MS 39631 Phone: 601-645-5221 | |
Fmch Clinic Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 W Main Street, Centreville, MS 39631 Phone: 601-645-5221 Fax: 601-645-5873 |