Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 37765 Highway 63n, Richton, Mississippi |
Authorized Official Name and Position | Brenda Snell (OFFICE MANAGER) |
Authorized Official Contact | 6013942381 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P O Box 160 Leakesville MS 39451-0160 Ph: () - | 37765 Highway 63n Richton MS 39476 Ph: (601) 989-2734 |
NPI Number | 1649405911 |
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Provider Enumeration Date | 05/15/2009 |
Last Update Date | 05/15/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649405911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Bay Avenue, Richton, MS 39476 Phone: 601-788-6321 Fax: 601-788-6362 | |
Pace Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 South Front Street, Richton, MS 39476 Phone: 601-788-6381 Fax: 601-788-9716 |