East Central Medical Center | |
7001 Highway 614 Moss Point MS 39562 | |
(228) 588-2938 | |
Not Available |
Full Name | East Central Medical Center |
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Speciality | Clinic/Center |
Location | 7001 Highway 614, Moss Point, Mississippi |
Authorized Official Name and Position | Lee Bond (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2288092074 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East Central Medical Center 2101 Highway 90 Gautier MS 39553-5340 Ph: (228) 497-7576 | East Central Medical Center 7001 Highway 614 Moss Point MS 39562 Ph: (228) 588-2938 |
NPI Number | 1629287719 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 04/19/2021 |
Medicare PECOS PAC ID | 3870405194 |
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Medicare Enrollment ID | O20071012000388 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629287719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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