| Gloster Dental Services | |
|
253 East Main Street Gloster MS 39638 | |
| (601) 225-4119 | |
| (601) 225-4620 |
| Full Name | Gloster Dental Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 253 East Main Street, Gloster, Mississippi |
| Authorized Official Name and Position | Pam T. Poole (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6016574326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloster Dental Services Po Box 427 Gloster MS 39638-0427 Ph: (601) 225-4119 | Gloster Dental Services 253 East Main Street Gloster MS 39638 Ph: (601) 225-4119 |
| NPI Number | 1700108578 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 02/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700108578 | NPI | - | NPPES |
| 09013203 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Fmch Gloster Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 N Captain Gloster Dr, Gloster, MS 39638 Phone: 601-224-4711 | |
Fmch Gloster Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 434 N Captain Gloster Dr, Gloster, MS 39638 Phone: 601-225-4711 | |
Rkm Primary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6002 Hancock Rd, Gloster, MS 39638 Phone: 601-225-7206 |