| Highland Pediatric And Primary Care Rhc | |
|
146 Highland Pkwy Picayune MS 39466-5575 | |
| (601) 358-9765 | |
| (601) 358-9929 |
| Full Name | Highland Pediatric And Primary Care Rhc |
|---|---|
| Speciality | Family Medicine |
| Location | 146 Highland Pkwy, Picayune, Mississippi |
| Authorized Official Name and Position | Ben Hester (CFO) |
| Authorized Official Contact | 6012884225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Pediatric And Primary Care Rhc 125 S 28th Ave Ste 326 Hattiesburg MS 39401-7152 Ph: () - | Highland Pediatric And Primary Care Rhc 146 Highland Pkwy Picayune MS 39466-5575 Ph: (601) 358-9765 |
| NPI Number | 1922574425 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 04/24/2020 |
| Medicare PECOS PAC ID | 1052397767 |
|---|---|
| Medicare Enrollment ID | O20190226002055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922574425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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