Jackson Rural Health Clinic P A | |
29 S Fourth St Rolling Fork MS 39159-5146 | |
(662) 873-4361 | |
(662) 873-2921 |
Full Name | Jackson Rural Health Clinic P A |
---|---|
Speciality | Family Medicine |
Location | 29 S Fourth St, Rolling Fork, Mississippi |
Authorized Official Name and Position | Danny Jackson (OWNER) |
Authorized Official Contact | 6628734361 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jackson Rural Health Clinic P A Po Box 520 Rolling Fork MS 39159-0520 Ph: (662) 873-4361 | Jackson Rural Health Clinic P A 29 S Fourth St Rolling Fork MS 39159-5146 Ph: (662) 873-4361 |
NPI Number | 1316975287 |
---|---|
Provider Enumeration Date | 06/29/2006 |
Last Update Date | 12/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316975287 | NPI | - | NPPES |
09014136 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 253949 (Mississippi) | Primary |
Sharkey Issaquena Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 283 W Race St, Rolling Fork, MS 39159 Phone: 662-873-4395 | |
Rolling Fork Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 S Fourth St, Rolling Fork, MS 39159 Phone: 662-335-4105 Fax: 662-378-2879 | |
Andrew George Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-873-0742 | |
Delta Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20400 Highway 61, Rolling Fork, MS 39159 Phone: 662-741-2151 Fax: 662-741-2700 | |
South Delta Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-873-0742 | |
Andrew George Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-873-0742 |