Crawford Health Clinic, Llc | |
15865 Highway 14 Macon MS 39341 | |
(662) 435-7800 | |
Not Available |
Full Name | Crawford Health Clinic, Llc |
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Speciality | Clinic/center - Rural Health |
Location | 15865 Highway 14, Macon, Mississippi |
Authorized Official Name and Position | Felicia Deloris Edwards (MANAGING PARTNER) |
Authorized Official Contact | 6624357800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crawford Health Clinic, Llc Po Box 95 Crawford MS 39743-0095 Ph: (662) 435-7800 | Crawford Health Clinic, Llc 15865 Highway 14 Macon MS 39341 Ph: (662) 435-7800 |
NPI Number | 1912193459 |
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Provider Enumeration Date | 09/19/2007 |
Last Update Date | 03/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912193459 | NPI | - | NPPES |
03825275 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | R740067 (Mississippi) | Primary |
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