Hickory Flat Clinic Association Inc | |
250 Oak St Hickory Flat MS 38633-8122 | |
(662) 333-6387 | |
(662) 333-6725 |
Full Name | Hickory Flat Clinic Association Inc |
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Speciality | Clinic/center - Rural Health |
Location | 250 Oak St, Hickory Flat, Mississippi |
Authorized Official Name and Position | Sue Morrisson (CLINIC DIRECTOR) |
Authorized Official Contact | 6623336387 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hickory Flat Clinic Association Inc Po Box 128 Hickory Flat MS 38633-0128 Ph: (662) 333-6387 | Hickory Flat Clinic Association Inc 250 Oak St Hickory Flat MS 38633-8122 Ph: (662) 333-6387 |
NPI Number | 1952305815 |
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Provider Enumeration Date | 06/09/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952305815 | NPI | - | NPPES |
09014193 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Hickory Flat Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Oak St, Hickory Flat, MS 38633 Phone: 662-551-6492 |