Highland Family Medicine Clinic | |
1702 Highway 11 N Ste A Picayune MS 39466-2016 | |
(601) 799-3130 | |
Not Available |
Full Name | Highland Family Medicine Clinic |
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Speciality | Clinic/Center |
Location | 1702 Highway 11 N Ste A, Picayune, Mississippi |
Authorized Official Name and Position | Ben Hester (CFO) |
Authorized Official Contact | 6012884225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Highland Family Medicine Clinic Po Box 15722 Hattiesburg MS 39404-5722 Ph: (601) 288-7000 | Highland Family Medicine Clinic 1702 Highway 11 N Ste A Picayune MS 39466-2016 Ph: (601) 799-3130 |
NPI Number | 1790361509 |
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Provider Enumeration Date | 03/22/2021 |
Last Update Date | 10/16/2024 |
Medicare PECOS PAC ID | 1052397767 |
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Medicare Enrollment ID | O20220606000026 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790361509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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