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1301 Veterans Memorial Blvd Eupora MS 39744-2064 | |
(662) 258-7200 | |
(662) 258-9230 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1301 Veterans Memorial Blvd, Eupora, Mississippi |
Authorized Official Name and Position | Bruce Toppin (CORPORATE SECRETARY) |
Authorized Official Contact | 6623774229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1301 Veterans Memorial Blvd Eupora MS 39744-2064 Ph: (662) 258-7200 | 1301 Veterans Memorial Blvd Eupora MS 39744-2064 Ph: (662) 258-7200 |
NPI Number | 1639584352 |
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Provider Enumeration Date | 06/23/2014 |
Last Update Date | 01/20/2025 |
Medicare PECOS PAC ID | 6901892421 |
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Medicare Enrollment ID | O20140808001548 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639584352 | NPI | - | NPPES |
007835269 | Medicaid | MS | |
25-8596 | Other | MS | MEDICARE RURAL HEALTH |
C0081 | Other | MS | MEDICARE NON RURAL HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 13225 (Mississippi) | Primary |
Cain Clinic Of Eupora Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 Veterans Memorial Blvd, Eupora, MS 39744 Phone: 662-258-7533 Fax: 662-258-7534 | |