Conehatta Satellite Clinic | |
376 Campus Rd Conehatta MS 39057-2800 | |
(601) 656-2211 | |
(601) 663-7721 |
Full Name | Conehatta Satellite Clinic |
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Speciality | Clinic/center - Public Health, Federal |
Location | 376 Campus Rd, Conehatta, Mississippi |
Authorized Official Name and Position | Phyllils J Anderson (TRIBAL CHIEF) |
Authorized Official Contact | 6016562211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Conehatta Satellite Clinic 210 Hospital Cir Choctaw MS 39350-6781 Ph: (601) 656-2211 | Conehatta Satellite Clinic 376 Campus Rd Conehatta MS 39057-2800 Ph: (601) 656-2211 |
NPI Number | 1013092600 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 06/15/2012 |
Identifier | Type | State | Issuer |
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1013092600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |