| Eupora Pediatric Clinic | |
|
15 Medical Plz Eupora MS 39744-4019 | |
| (662) 258-4701 | |
| Not Available |
| Full Name | Eupora Pediatric Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Medical Plz, Eupora, Mississippi |
| Authorized Official Name and Position | Bruce Toppin (CORPORATE SECRETARY) |
| Authorized Official Contact | 6623773000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eupora Pediatric Clinic 450 E President Ave Tupelo MS 38801-5599 Ph: (662) 377-4685 | Eupora Pediatric Clinic 15 Medical Plz Eupora MS 39744-4019 Ph: (662) 258-4701 |
| NPI Number | 1346584836 |
|---|---|
| Provider Enumeration Date | 11/21/2012 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 6901892421 |
|---|---|
| Medicare Enrollment ID | O20130123000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346584836 | NPI | - | NPPES |
| 25-8580 | Other | MS | RURAL MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 13-225 (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 | |
Eupora Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 A Highway 9 South, Eupora, MS 39744 Phone: 662-258-7200 Fax: 662-258-9230 | |
Eupora Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 Veterans Memorial Blvd, Eupora, MS 39744 Phone: 662-258-7200 | |
Webster Health Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Medical Plz, Eupora, MS 39744 Phone: 662-258-6221 | |
Eupora Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Medical Plz, Eupora, MS 39744 Phone: 662-258-4701 |