Covington Health Sumrall | |
1039 Highway 42 Ste C Sumrall MS 39482-4478 | |
(601) 765-6711 | |
(601) 698-0112 |
Full Name | Covington Health Sumrall |
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Speciality | Clinic/Center |
Location | 1039 Highway 42 Ste C, Sumrall, Mississippi |
Authorized Official Name and Position | Anissa L Evans (CREDENTIALING DIRECTOR) |
Authorized Official Contact | 6016980328 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Covington Health Sumrall 701 S Holly Ave Collins MS 39428-3894 Ph: (601) 765-6711 | Covington Health Sumrall 1039 Highway 42 Ste C Sumrall MS 39482-4478 Ph: (601) 765-6711 |
NPI Number | 1659995538 |
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Provider Enumeration Date | 06/05/2020 |
Last Update Date | 07/28/2021 |
Medicare PECOS PAC ID | 4183517253 |
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Medicare Enrollment ID | O20200717000509 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659995538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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