Clinton Family Care Llc | |
309a Morrison Dr Clinton MS 39056-5239 | |
(601) 924-1877 | |
(601) 924-1871 |
Full Name | Clinton Family Care Llc |
---|---|
Speciality | Family Medicine |
Location | 309a Morrison Dr, Clinton, Mississippi |
Authorized Official Name and Position | David Brice Wheat (PROPRIETOR) |
Authorized Official Contact | 6019241877 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Clinton Family Care Llc 309a Morrison Dr Clinton MS 39056-5239 Ph: (601) 924-1877 | Clinton Family Care Llc 309a Morrison Dr Clinton MS 39056-5239 Ph: (601) 924-1877 |
NPI Number | 1396811527 |
---|---|
Provider Enumeration Date | 11/28/2006 |
Last Update Date | 02/18/2009 |
Medicare PECOS PAC ID | 3870539265 |
---|---|
Medicare Enrollment ID | O20050707000656 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396811527 | NPI | - | NPPES |
0114637 | Medicaid | MS | |
P00250596 GRP DD7799 | Other | MS | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 09202 (Mississippi) | Primary |
Provider Name | David B Wheat |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487697561 PECOS PAC ID: 0840236238 Enrollment ID: I20050711000593 |
Clinton Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Highway 80 E, Suite D, Clinton, MS 39056 Phone: 318-791-3765 Fax: 877-747-5326 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 498 Highway 80 E, Clinton, MS 39056 Phone: 601-924-4000 | |