| Holmes Family Medical Clinic | |
|
239 Bowling Green Road Lexington MS 39095 | |
| (662) 834-1321 | |
| (601) 815-6301 |
| Full Name | Holmes Family Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 239 Bowling Green Road, Lexington, Mississippi |
| Authorized Official Name and Position | Jeffrey Grimsley (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6018158732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holmes Family Medical Clinic 2500 N State St Jackson MS 39216-4500 Ph: () - | Holmes Family Medical Clinic 239 Bowling Green Road Lexington MS 39095 Ph: (662) 834-1321 |
| NPI Number | 1538179585 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 05/08/2020 |
| Medicare PECOS PAC ID | 1850293036 |
|---|---|
| Medicare Enrollment ID | O20040428001158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538179585 | NPI | - | NPPES |
| 06300013 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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