Ochsner Health Center- Decatur | |
14884 Highway 15 Decatur MS 39327 | |
(601) 635-2258 | |
(601) 635-2259 |
Full Name | Ochsner Health Center- Decatur |
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Speciality | Clinic/Center |
Location | 14884 Highway 15, Decatur, Mississippi |
Authorized Official Name and Position | Don Larkin Kennedy (REGIONAL CEO) |
Authorized Official Contact | 6017039614 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ochsner Health Center- Decatur Dept. 3023 Po Box 1000 Memphis TN 38148-3023 Ph: (601) 213-3010 | Ochsner Health Center- Decatur 14884 Highway 15 Decatur MS 39327 Ph: (601) 635-2258 |
NPI Number | 1033460878 |
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Provider Enumeration Date | 09/19/2012 |
Last Update Date | 04/26/2023 |
Medicare PECOS PAC ID | 7214991769 |
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Medicare Enrollment ID | O20130814000278 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033460878 | NPI | - | NPPES |
002276065 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |