<unavail> in Richton, MS - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Richton, Mississippi. The current practice location for is 39455 Highway 63 North, Richton, Mississippi. For appointments, you can reach them via phone at (601) 989-3105. The mailing address for is 10467 Corporate Dr, Gulfport, Mississippi and phone number is (228) 374-2494.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1306931431. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 989-3105.

Contact Information


	39455 Highway 63 North Richton MS 39476
	(601) 989-3105
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	39455 Highway 63 North, Richton, Mississippi
Authorized Official Name and Position	Angelique Greer (CEO)
Authorized Official Contact	2283742494
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
10467 Corporate Dr Gulfport MS 39503-4634 Ph: (228) 374-2494	39455 Highway 63 North Richton MS 39476 Ph: (601) 989-3105

NPI Details:

NPI Number	1306931431
Provider Enumeration Date	10/04/2006
Last Update Date	08/16/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	8628989654
Medicare Enrollment ID	O20170804000324

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306931431	NPI	-	NPPES
05333371	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Richton, MS

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- Medicare Primary Care in Richton, MS