Grace & Mercy Healthcare Center | |
131 Lexington St Pickens MS 39146-3914 | |
(601) 691-0100 | |
Not Available |
Full Name | Grace & Mercy Healthcare Center |
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Speciality | Clinic/Center |
Location | 131 Lexington St, Pickens, Mississippi |
Authorized Official Name and Position | Aleshia Monique Ford (FNP) |
Authorized Official Contact | 6016910100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grace & Mercy Healthcare Center 3127 Greenfield Rd Lot 162 Pearl MS 39208-8771 Ph: (601) 691-0100 | Grace & Mercy Healthcare Center 131 Lexington St Pickens MS 39146-3914 Ph: (601) 691-0100 |
NPI Number | 1104447507 |
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Provider Enumeration Date | 04/27/2020 |
Last Update Date | 04/27/2020 |
Medicare PECOS PAC ID | 4385061357 |
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Medicare Enrollment ID | O20220523001765 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104447507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Aleshia M Ford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780166876 PECOS PAC ID: 5698106201 Enrollment ID: I20200515000386 |
New Horizon Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Lexington St., Pickens, MS 39146 Phone: 662-468-9145 | |
Dr. Arenia C. Mallory Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Lexington Street, Pickens, MS 39146 Phone: 662-834-0752 |