| Gsv Care Medical Clinic | |
|
400 Third Avenue Houlka MS 38850 | |
| (662) 568-2013 | |
| (662) 568-2023 |
| Full Name | Gsv Care Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 400 Third Avenue, Houlka, Mississippi |
| Authorized Official Name and Position | Manda Griffin (OWNER) |
| Authorized Official Contact | 6629830422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gsv Care Medical Clinic 400 Third Avenue Houlka MS 38850 Ph: (662) 568-2013 | Gsv Care Medical Clinic 400 Third Avenue Houlka MS 38850 Ph: (662) 568-2013 |
| NPI Number | 1275874281 |
|---|---|
| Provider Enumeration Date | 03/15/2013 |
| Last Update Date | 03/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275874281 | NPI | - | NPPES |
| 04506555 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | R850148 (Mississippi) | Primary |
Access Family Health - Houlka Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 Walker St, Houlka, MS 38850 Phone: 662-568-3316 Fax: 662-568-3360 |