| |
6602 Orange Grove Road Moss Point MS 39563 | |
(228) 473-9945 | |
(228) 475-3747 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 6602 Orange Grove Road, Moss Point, Mississippi |
Authorized Official Name and Position | Joe M Dawsey (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2288182766 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 475 Biloxi MS 39533 Ph: (228) 818-2766 | 6602 Orange Grove Road Moss Point MS 39563 Ph: (228) 473-9945 |
NPI Number | 1417988916 |
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Provider Enumeration Date | 07/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417988916 | NPI | - | NPPES |
06681754 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Gale Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3702 Jefferson Ave, Moss Point, MS 39563 Phone: 228-641-1674 Fax: 228-205-4593 | |
Allgood Family Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9930 Saracennia Rd, Moss Point, MS 39562 Phone: 228-475-7877 Fax: 228-475-8085 | |
Moss Point Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5430 Griffin St, Moss Point, MS 39563 Phone: 228-355-0719 Fax: 228-475-4039 | |