| House Calls Llc | |
|
405 N Hayden St Belzoni MS 39038-3639 | |
| (662) 247-1254 | |
| Not Available |
| Full Name | House Calls Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 405 N Hayden St, Belzoni, Mississippi |
| Authorized Official Name and Position | Jacob Kilburn (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 6622471254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| House Calls Llc Po Box 373 Belzoni MS 39038-0373 Ph: (662) 247-1254 | House Calls Llc 405 N Hayden St Belzoni MS 39038-3639 Ph: (662) 247-1254 |
| NPI Number | 1407439235 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 04/29/2021 |
| Medicare PECOS PAC ID | 5597166421 |
|---|---|
| Medicare Enrollment ID | O20210629001621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407439235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Meagan T Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144620287 PECOS PAC ID: 9436465184 Enrollment ID: I20150826002006 |
| Provider Name | Tanga Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447642335 PECOS PAC ID: 7911217955 Enrollment ID: I20190211000340 |
| Provider Name | Katherine Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588124473 PECOS PAC ID: 2567868474 Enrollment ID: I20210901000440 |
| Provider Name | Gracie A Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174112098 PECOS PAC ID: 5092107771 Enrollment ID: I20220111000223 |
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