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208 Country Club Rd Houston MS 38851-9326 | |
(662) 456-3437 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 208 Country Club Rd, Houston, Mississippi |
Authorized Official Name and Position | Joseph A Reppert (CFO) |
Authorized Official Contact | 6623773978 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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176 S Main St Pontotoc MS 38863-3311 Ph: (662) 489-5510 | 208 Country Club Rd Houston MS 38851-9326 Ph: (662) 456-3437 |
NPI Number | 1073920328 |
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Provider Enumeration Date | 07/18/2014 |
Last Update Date | 09/03/2014 |
Identifier | Type | State | Issuer |
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1073920328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 16091 (Mississippi) | Primary |
Digestive Disease Center Of Houston Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 E Madison St, Houston, MS 38851 Phone: 662-456-9203 Fax: 662-456-9206 |