| Dhc-moorhead Central School | |
|
506 Washington Avenue Moorhead MS 38761 | |
| (662) 246-5680 | |
| (662) 246-5080 |
| Full Name | Dhc-moorhead Central School |
|---|---|
| Speciality | Clinic/Center |
| Location | 506 Washington Avenue, Moorhead, Mississippi |
| Authorized Official Name and Position | Myrtis Small (HR-CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 6627418889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhc-moorhead Central School 702 Martin Luther King St Mound Bayou MS 38762-9314 Ph: (662) 741-8800 | Dhc-moorhead Central School 506 Washington Avenue Moorhead MS 38761 Ph: (662) 246-5680 |
| NPI Number | 1285280180 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 08/21/2019 |
| Medicare PECOS PAC ID | 6608783295 |
|---|---|
| Medicare Enrollment ID | O20191014000868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285280180 | NPI | - | NPPES |
| 09013118 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Delta Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 598 Ingram Street, Moorhead, MS 38761 Phone: 662-246-8028 Fax: 662-246-5847 | |
South Sunflower County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 West Delta, Moorhead, MS 38761 Phone: 662-246-0099 |