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311 E Cherry St Ackerman MS 39735-9795 | |
(662) 285-6235 | |
(662) 285-2516 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 311 E Cherry St, Ackerman, Mississippi |
Authorized Official Name and Position | Ray Shoemaker (ADMINISTRATOR) |
Authorized Official Contact | 6622856235 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1039 Ackerman MS 39735-1039 Ph: (662) 285-6235 | 311 E Cherry St Ackerman MS 39735-9795 Ph: (662) 285-6235 |
NPI Number | 1477541431 |
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Provider Enumeration Date | 10/12/2005 |
Last Update Date | 07/09/2008 |
Identifier | Type | State | Issuer |
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1477541431 | NPI | - | NPPES |
08479796 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Mississippi) | Primary |
Blissful Nursing And Mental Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8900ms Highway 15, Ackerman, MS 39735 Phone: 662-387-7167 | |