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905c S Frontage Rd Meridian MS 39301-6113 | |
(601) 482-4955 | |
(601) 482-4957 |
Full Name | |
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Speciality | Clinic/Center |
Location | 905c S Frontage Rd, Meridian, 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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Dept 3027 P O Box 1000 Memphis TN 38148-3027 Ph: (601) 213-3010 | 905c S Frontage Rd Meridian MS 39301-6113 Ph: (601) 482-4955 |
NPI Number | 1811233950 |
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Provider Enumeration Date | 12/18/2012 |
Last Update Date | 10/04/2024 |
Medicare PECOS PAC ID | 2567368541 |
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Medicare Enrollment ID | O20130418000536 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811233950 | NPI | - | NPPES |
009014894 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Greater Meridian Health Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Greater Meridian Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Primary Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Meridian, MS 39301 Phone: 601-646-0898 | |