| Chickasaw Medical Clinic | |
|
208 Country Club Rd Houston MS 38851-9326 | |
| (662) 456-3437 | |
| Not Available |
| Full Name | Chickasaw Medical Clinic |
|---|---|
| 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 |
|---|---|
| Chickasaw Medical Clinic 176 S Main St Pontotoc MS 38863-3311 Ph: (662) 489-5510 | Chickasaw Medical Clinic 208 Country Club Rd Houston MS 38851-9326 Ph: (662) 456-3437 |
| NPI Number | 1073920328 |
|---|---|
| Provider Enumeration Date | 07/18/2014 |
| Last Update Date | 09/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073920328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 16091 (Mississippi) | Primary |
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