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1014 Rose St Suite A Prentiss MS 39474 | |
(601) 792-4276 | |
(601) 792-2947 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1014 Rose St, Prentiss, Mississippi |
Authorized Official Name and Position | Mary Curtis (CEO) |
Authorized Official Contact | 6017924276 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P.o. Box 1288 Prentiss MS 39474 Ph: (601) 792-4276 | 1014 Rose St Suite A Prentiss MS 39474 Ph: (601) 792-4276 |
NPI Number | 1043241946 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 01/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043241946 | NPI | - | NPPES |
04431581 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 16-179 (Mississippi) | Primary |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 910 Second Street, Prentiss, MS 39474 Phone: 601-792-2078 Fax: 601-792-8211 | |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 J E Johnson Rd, Prentiss, MS 39474 Phone: 601-825-7280 Fax: 601-825-8130 | |
Ware Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 972 Columbia Ave, Prentiss, MS 39474 Phone: 601-792-5343 |