| Jefferson Davis Rural Health Clinic | |
|
1014 Rose St Suite A Prentiss MS 39474-5271 | |
| (601) 792-2202 | |
| (601) 792-2345 |
| Full Name | Jefferson Davis Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1014 Rose St, Prentiss, Mississippi |
| Authorized Official Name and Position | Ben Hester (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6012884225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Davis Rural Health Clinic 1014 Rose St Suite A Prentiss MS 39474-5271 Ph: (601) 792-2202 | Jefferson Davis Rural Health Clinic 1014 Rose St Suite A Prentiss MS 39474-5271 Ph: (601) 792-2202 |
| NPI Number | 1689952707 |
|---|---|
| Provider Enumeration Date | 07/22/2011 |
| Last Update Date | 09/12/2017 |
| Medicare PECOS PAC ID | 1052397767 |
|---|---|
| Medicare Enrollment ID | O20111230000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689952707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | 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 | |
Jefferson Davis Community Hospital Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Berry Street, Prentiss, MS 39474 Phone: 601-792-8432 Fax: 601-792-8453 | |
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 | |
Ware Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 972 Columbia Ave, Prentiss, MS 39474 Phone: 601-792-5343 |