Clinic 221, Family Health Care, Llc | |
400 Northwest Plz Senatobia MS 38668-1740 | |
(662) 301-8330 | |
Not Available |
Full Name | Clinic 221, Family Health Care, Llc |
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Speciality | Clinic/Center |
Location | 400 Northwest Plz, Senatobia, Mississippi |
Authorized Official Name and Position | Beverly Warren Briscoe (FNP/OWNER) |
Authorized Official Contact | 6623018330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinic 221, Family Health Care, Llc 400 Northwest Plz Senatobia MS 38668-1740 Ph: () - | Clinic 221, Family Health Care, Llc 400 Northwest Plz Senatobia MS 38668-1740 Ph: (662) 301-8330 |
NPI Number | 1073089843 |
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Provider Enumeration Date | 10/19/2018 |
Last Update Date | 10/19/2018 |
Medicare PECOS PAC ID | 4880938992 |
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Medicare Enrollment ID | O20181130000540 |
Identifier | Type | State | Issuer |
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1073089843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Beverly W Briscoe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184629206 PECOS PAC ID: 6103883038 Enrollment ID: I20041213000694 |
Provider Name | Anna M Meyers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932115094 PECOS PAC ID: 2163427048 Enrollment ID: I20060927000524 |
Provider Name | Tara C Puckett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942695929 PECOS PAC ID: 0042599540 Enrollment ID: I20161123001526 |
Provider Name | Hillary P Moss |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942730684 PECOS PAC ID: 7416213681 Enrollment ID: I20171106000562 |
Provider Name | Lauren Elizabeth Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225699325 PECOS PAC ID: 3870820939 Enrollment ID: I20190812003528 |
Provider Name | Natalie H Barker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811523590 PECOS PAC ID: 4880096767 Enrollment ID: I20210714003788 |
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