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15 Medical Plz Eupora MS 39744-4019 | |
(662) 258-4701 | |
(662) 258-4215 |
Full Name | |
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Speciality | Clinic/Center |
Location | 15 Medical Plz, 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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808 Varsity Dr Tupelo MS 38801-4613 Ph: (662) 377-3204 | 15 Medical Plz Eupora MS 39744-4019 Ph: (662) 258-4701 |
NPI Number | 1346584836 |
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Provider Enumeration Date | 11/21/2012 |
Last Update Date | 01/21/2025 |
Medicare PECOS PAC ID | 6901892421 |
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Medicare Enrollment ID | O20130123000503 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346584836 | NPI | - | NPPES |
25-8580 | Other | MS | RURAL MEDICARE |
009015461 | Medicaid | MS |
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 | |