| Children's Clinic | |
|
63 Medical Center Dr West Point MS 39773-0430 | |
| (662) 494-1620 | |
| (662) 494-0375 |
| Full Name | Children's Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 63 Medical Center Dr, West Point, Mississippi |
| Authorized Official Name and Position | Bruce J Toppin (SECRETARY) |
| Authorized Official Contact | 6623774228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Clinic 63 Medical Center Dr West Point MS 39773-0430 Ph: (662) 494-1620 | Children's Clinic 63 Medical Center Dr West Point MS 39773-0430 Ph: (662) 494-1620 |
| NPI Number | 1285184416 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
| Medicare PECOS PAC ID | 4789649609 |
|---|---|
| Medicare Enrollment ID | O20161108000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285184416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 13-312 (Mississippi) | Primary |
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