| |
785 Ohio Ave Ste 1h Clarksdale MS 38614-6213 | |
(662) 624-8400 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 785 Ohio Ave Ste 1h, Clarksdale, Mississippi |
Authorized Official Name and Position | Iris Stacker (CEO) |
Authorized Official Contact | 6627252020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 4597 Greenville MS 38704-4597 Ph: () - | 785 Ohio Ave Ste 1h Clarksdale MS 38614-6213 Ph: (662) 624-8400 |
NPI Number | 1831863950 |
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Provider Enumeration Date | 08/03/2021 |
Last Update Date | 11/14/2022 |
Identifier | Type | State | Issuer |
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1831863950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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