| Collins Elementary School | |
|
401 Dogwood Street Collins MS 39428-0000 | |
| (601) 765-4383 | |
| (601) 450-2493 |
| Full Name | Collins Elementary School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 401 Dogwood Street, Collins, Mississippi |
| Authorized Official Name and Position | Kaye Ray (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6015458700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collins Elementary School Po Box 1729 Hattiesburg MS 39403-1729 Ph: (601) 545-8700 | Collins Elementary School 401 Dogwood Street Collins MS 39428-0000 Ph: (601) 765-4383 |
| NPI Number | 1497202527 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497202527 | NPI | - | NPPES |
| 251048 | Other | MS MEDICARE PTAN | |
| 09405885 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Care Express Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3275 Hwy 49, Suite E, Collins, MS 39428 Phone: 601-765-6711 Fax: 601-765-2808 | |
Carver Middle School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Carver Drive, Collins, MS 39428 Phone: 601-545-8700 Fax: 601-450-2493 | |
Covington County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 S Holly Ave, Collins, MS 39428 Phone: 601-765-6711 Fax: 601-698-0112 | |
Covington County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 S Fir Ave, Collins, MS 39428 Phone: 601-419-7468 | |
Collins Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Fifth Street, Collins, MS 39428 Phone: 601-765-4414 Fax: 601-765-9141 | |
Covington County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Highway 35, Collins, MS 39428 Phone: 601-837-7380 | |
Hopewell Elementary School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Hopewell Rd, Collins, MS 39428 Phone: 601-545-8700 Fax: 601-450-2493 |