Crossroads Family Health Clinic Llc | |
2427 Proper St Corinth MS 38834-5394 | |
(662) 286-2300 | |
(662) 286-7010 |
Full Name | Crossroads Family Health Clinic Llc |
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Speciality | Family Medicine |
Location | 2427 Proper St, Corinth, Mississippi |
Authorized Official Name and Position | Mary Carter (OWNER) |
Authorized Official Contact | 6622862300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crossroads Family Health Clinic Llc 2427 Proper St Corinth MS 38834-5394 Ph: (662) 286-2300 | Crossroads Family Health Clinic Llc 2427 Proper St Corinth MS 38834-5394 Ph: (662) 286-2300 |
NPI Number | 1114654423 |
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Provider Enumeration Date | 08/05/2022 |
Last Update Date | 08/05/2022 |
Medicare PECOS PAC ID | 0840675831 |
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Medicare Enrollment ID | O20220912001499 |
Identifier | Type | State | Issuer |
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1114654423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Joseph Pratt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417953233 PECOS PAC ID: 2062495690 Enrollment ID: I20040615000734 |
Provider Name | Debora F Mcfalls |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386679579 PECOS PAC ID: 6800878356 Enrollment ID: I20040719001384 |
Provider Name | Mary E Carter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316487994 PECOS PAC ID: 7214214246 Enrollment ID: I20170501000777 |
Provider Name | Sylvia L. Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538758289 PECOS PAC ID: 3779982988 Enrollment ID: I20210520000793 |
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