| Hattiesburg Public School And Community Clinic | |
|
404 Lillie Burney St Hattiesburg MS 39401-5505 | |
| (601) 450-6500 | |
| (601) 450-6503 |
| Full Name | Hattiesburg Public School And Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 404 Lillie Burney St, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Kaye Ray (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6015458700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hattiesburg Public School And Community Clinic Po Box 511 Hattiesburg MS 39403-0511 Ph: (601) 450-6500 | Hattiesburg Public School And Community Clinic 404 Lillie Burney St Hattiesburg MS 39401-5505 Ph: (601) 450-6500 |
| NPI Number | 1023087400 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 2466342605 |
|---|---|
| Medicare Enrollment ID | O20040515000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023087400 | NPI | - | NPPES |
| 1813507 | Other | MS | MS UNITED HEALTH CARE |
| 02600025 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Hattiesburg Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4209 Lincoln Rd, Hattiesburg, MS 39402 Phone: 601-705-2896 Fax: 601-579-5240 | |
Thames Elementary School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Jamestown Rd, Hattiesburg, MS 39402 Phone: 601-545-8700 Fax: 601-582-5461 | |
Inland Family Practice Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3700 Hardy St Ste 10, Hattiesburg, MS 39402 Phone: 601-602-2014 Fax: 601-544-7013 | |
Lincoln Center Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Lincoln Pkwy, Suite 302, Hattiesburg, MS 39402 Phone: 601-296-7848 Fax: 601-296-7828 | |
Parkway Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 Glendale Ave, Hattiesburg, MS 39401 Phone: 601-582-5805 Fax: 601-582-5806 | |
Southern Medical Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6600 U S Highway 98, Suite B, Hattiesburg, MS 39402 Phone: 601-261-2727 Fax: 601-261-9847 |