| Jasper County After Hours Clinic | |
|
27 S Sixth St Bay Springs MS 39422-9052 | |
| (601) 764-2155 | |
| (601) 764-2150 |
| Full Name | Jasper County After Hours Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 27 S Sixth St, Bay Springs, Mississippi |
| Authorized Official Name and Position | Griff M Kelly (CFO) |
| Authorized Official Contact | 6017642101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasper County After Hours Clinic Po Box 527 Bay Springs MS 39422-0527 Ph: () - | Jasper County After Hours Clinic 27 S Sixth St Bay Springs MS 39422-9052 Ph: (601) 764-2155 |
| NPI Number | 1245870823 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 09/30/2020 |
| Medicare PECOS PAC ID | 1052487105 |
|---|---|
| Medicare Enrollment ID | O20200313000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245870823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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