| Crawford Mobile Health Clinic | |
|
15865 Highway 14 West Macon MS 39341-0402 | |
| (662) 435-7800 | |
| Not Available |
| Full Name | Crawford Mobile Health Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 15865 Highway 14 West, Macon, Mississippi |
| Authorized Official Name and Position | Felicia Deloris Edwards (MANAING PARTNER) |
| Authorized Official Contact | 6624357800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crawford Mobile Health Clinic Po Box 95 Crawford MS 39743-0095 Ph: (662) 435-7800 | Crawford Mobile Health Clinic 15865 Highway 14 West Macon MS 39341-0402 Ph: (662) 435-7800 |
| NPI Number | 1245506377 |
|---|---|
| Provider Enumeration Date | 03/22/2012 |
| Last Update Date | 03/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245506377 | NPI | - | NPPES |
| 1316040264 | Other | MS | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R740067 (Mississippi) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | R740067 (Mississippi) | Primary |
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