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123 Mccomb Ave Port Gibson MS 39150-2915 | |
(601) 437-5141 | |
(601) 437-3782 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 123 Mccomb Ave, Port Gibson, Mississippi |
Authorized Official Name and Position | Ray Shoemaker (CEO) |
Authorized Official Contact | 6623211155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1004 Port Gibson MS 39150-1004 Ph: (601) 437-5141 | 123 Mccomb Ave Port Gibson MS 39150-2915 Ph: (601) 437-5141 |
NPI Number | 1760636583 |
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Provider Enumeration Date | 11/06/2008 |
Last Update Date | 11/06/2008 |
Identifier | Type | State | Issuer |
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1760636583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Claiborne County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Mccomb Ave, Port Gibson, MS 39150 Phone: 601-437-5141 Fax: 601-437-5130 | |
Family Wellness Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 703b Farmer St, Port Gibson, MS 39150 Phone: 601-437-5668 Fax: 601-437-4533 | |
Patients Choice Medical Center Of Claiborne County Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Mccomb Ave, Port Gibson, MS 39150 Phone: 601-437-5141 Fax: 601-437-3782 |