- Primary Care in Vaiden, MS

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is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Vaiden, Mississippi. The current practice location for is 201a Magnolia St, Vaiden, Mississippi. For appointments, you can reach them via phone at (662) 464-5470. The mailing address for is Po Box 369, Vaiden, Mississippi and phone number is (662) 464-5470.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1053439133. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (662) 464-5470.

Contact Information

201a Magnolia St
Vaiden
MS 39176-5644
(662) 464-5470
(662) 464-0152

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/center - Federally Qualified Health Center (fqhc)
Location201a Magnolia St, Vaiden, Mississippi
Authorized Official Name and PositionDewery Montgomery (INTERIM CEO)
Authorized Official Contact6628341857
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 369
Vaiden
MS 39176-0369

Ph: (662) 464-5470
201a Magnolia St
Vaiden
MS 39176-5644

Ph: (662) 464-5470

NPI Details:

NPI Number1053439133
Provider Enumeration Date03/27/2007
Last Update Date03/24/2014

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053439133NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Vaiden, MS


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 201a Magnolia St, Vaiden, MS 39176
Phone: 601-496-5400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.