Family Medical Group Of Bude | |
136 Main St N Bude MS 39630-7117 | |
(601) 384-8143 | |
(601) 384-3878 |
Full Name | Family Medical Group Of Bude |
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Speciality | Clinic/Center |
Location | 136 Main St N, Bude, Mississippi |
Authorized Official Name and Position | Mike Boleware (ADMINISTRATOR) |
Authorized Official Contact | 6013848126 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medical Group Of Bude Po Box 636 Meadville MS 39653-0636 Ph: (601) 384-2394 | Family Medical Group Of Bude 136 Main St N Bude MS 39630-7117 Ph: (601) 384-8143 |
NPI Number | 1457657363 |
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Provider Enumeration Date | 02/10/2011 |
Last Update Date | 06/09/2016 |
Medicare PECOS PAC ID | 2466355243 |
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Medicare Enrollment ID | O20160613002095 |
Identifier | Type | State | Issuer |
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1457657363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 262 Pine St N, Bude, MS 39630 Phone: 601-825-7280 Fax: 601-825-8130 | |
Franklin County Memorial Hospital Dba Bude Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Main St N, Bude, MS 39630 Phone: 601-384-8100 Fax: 601-384-4100 | |
Bude Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Main St N, Bude, MS 39630 Phone: 601-384-2394 Fax: 601-384-4199 |