Cch Clinic Taylorsville | |
105 Eaton St Taylorsville MS 39168-5614 | |
(601) 765-6711 | |
(601) 698-0112 |
Full Name | Cch Clinic Taylorsville |
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Speciality | Clinic/Center |
Location | 105 Eaton St, Taylorsville, 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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Cch Clinic Taylorsville 105 Eaton St Taylorsville MS 39168-5614 Ph: (601) 765-6711 | Cch Clinic Taylorsville 105 Eaton St Taylorsville MS 39168-5614 Ph: (601) 765-6711 |
NPI Number | 1306460282 |
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Provider Enumeration Date | 06/05/2020 |
Last Update Date | 06/13/2023 |
Medicare PECOS PAC ID | 4183517253 |
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Medicare Enrollment ID | O20200721003135 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306460282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Taylorsville Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Pine St, Taylorsville, MS 39168 Phone: 601-785-6911 Fax: 601-785-6988 | |
Family Health Care Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 W Magnolia Ln, Taylorsville, MS 39168 Phone: 601-825-7280 Fax: 601-825-8130 | |
Jfmc Taylorsville, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Pine St, Taylorsville, MS 39168 Phone: 601-478-5020 Fax: 601-785-0205 | |
Family Health Care Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 South County Road, 10 B, Taylorsville, MS 39168 Phone: 601-825-7280 Fax: 601-825-8130 | |
John R. Harper,md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Eaton Street, Taylorsville, MS 39168 Phone: 601-785-6786 Fax: 601-785-7929 | |
John R Harper, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Eaton Street, Taylorsville, MS 39168 Phone: 601-785-6786 Fax: 601-785-7929 |