| Fmch Centreville Clinic | |
|
143 West Howard St Centreville MS 39631 | |
| (601) 645-5221 | |
| Not Available |
| Full Name | Fmch Centreville Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 143 West Howard St, Centreville, Mississippi |
| Authorized Official Name and Position | Brock Slabach (ADMINISTRATOR) |
| Authorized Official Contact | 6016455221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmch Centreville Clinic Po Box 639 Centreville MS 39631-0639 Ph: (601) 645-5221 | Fmch Centreville Clinic 143 West Howard St Centreville MS 39631 Ph: (601) 645-5221 |
| NPI Number | 1184806747 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 12/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184806747 | NPI | - | NPPES |
| 04577291 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Fmch Field Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 E Main St, Centreville, MS 39631 Phone: 601-645-5361 | |
Centreville Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 178 Highway 24 E Ste A, Centreville, MS 39631 Phone: 601-890-0520 Fax: 601-645-5088 | |
Fmch Clinic Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 W Main Street, Centreville, MS 39631 Phone: 601-645-5221 Fax: 601-645-5873 |