| |
620 Main Street Leakesville MS 39451 | |
(601) 394-4507 | |
(601) 394-5615 |
Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 620 Main Street, Leakesville, Mississippi |
Authorized Official Name and Position | Angelique Greer (CEO) |
Authorized Official Contact | 2283742494 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
10467 Corporate Dr Gulfport MS 39503-4634 Ph: (228) 374-2494 | 620 Main Street Leakesville MS 39451 Ph: (601) 394-4507 |
NPI Number | 1457444606 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 08/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457444606 | NPI | - | NPPES |
08703746 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Greene County Clinic Hospital Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 Jackson Ave, Leakesville, MS 39451 Phone: 601-947-8181 Fax: 601-947-4411 | |
Greene County Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 Jackson Ave, Leakesville, MS 39451 Phone: 601-394-2820 Fax: 601-394-2827 | |
Coastal Family Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 951 Main St, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-2593 | |