| Jefferson Davis Community Hospital Family Practice Clinic | |
|
1150 Berry Street Prentiss MS 39474-1255 | |
| (601) 792-8432 | |
| (601) 792-8453 |
| Full Name | Jefferson Davis Community Hospital Family Practice Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1150 Berry Street, 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 |
|---|---|
| Jefferson Davis Community Hospital Family Practice Clinic Po Box 1288 Prentiss MS 39474-1255 Ph: (601) 792-8432 | Jefferson Davis Community Hospital Family Practice Clinic 1150 Berry Street Prentiss MS 39474-1255 Ph: (601) 792-8432 |
| NPI Number | 1134150030 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134150030 | NPI | - | NPPES |
| 05588572 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 16-179 (Mississippi) | Primary |
Jefferson Davis Community Hospital Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1014 Rose St, Suite A, Prentiss, MS 39474 Phone: 601-792-4276 Fax: 601-792-2947 | |
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 | |
Prentiss Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1014 Rose Street, Prentiss, MS 39474 Phone: 601-792-2071 Fax: 601-792-8134 | |
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 | |
Jefferson Davis Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1014 Rose St, Suite A, Prentiss, MS 39474 Phone: 601-792-2202 Fax: 601-792-2345 | |
Ware Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 972 Columbia Ave, Prentiss, MS 39474 Phone: 601-792-5343 |