Family First Clinic Of Hernando, Limited | |
2416 Mount Pleasant Rd Hernando MS 38632-2001 | |
(662) 298-3181 | |
(662) 269-4704 |
Full Name | Family First Clinic Of Hernando, Limited |
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Speciality | Clinic/Center |
Location | 2416 Mount Pleasant Rd, Hernando, Mississippi |
Authorized Official Name and Position | Paula Aldridge (OWNER) |
Authorized Official Contact | 6622983181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family First Clinic Of Hernando, Limited 2416 Mount Pleasant Rd Hernando MS 38632-2001 Ph: (662) 298-3181 | Family First Clinic Of Hernando, Limited 2416 Mount Pleasant Rd Hernando MS 38632-2001 Ph: (662) 298-3181 |
NPI Number | 1134759780 |
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Provider Enumeration Date | 01/23/2020 |
Last Update Date | 01/23/2020 |
Medicare PECOS PAC ID | 1759702160 |
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Medicare Enrollment ID | O20200610001350 |
Identifier | Type | State | Issuer |
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1134759780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Lora Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225323090 PECOS PAC ID: 4486822988 Enrollment ID: I20130731000489 |
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