Kdmc Pediatric Adolescent Clinic | |
509 Brookman Dr. Brookhaven MS 39601-2326 | |
(601) 823-5204 | |
Not Available |
Full Name | Kdmc Pediatric Adolescent Clinic |
---|---|
Speciality | Clinic/Center |
Location | 509 Brookman Dr., Brookhaven, Mississippi |
Authorized Official Name and Position | Scott Christensen (CEO) |
Authorized Official Contact | 6018359488 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kdmc Pediatric Adolescent Clinic 427 Highway 51 N Brookhaven MS 39601-2350 Ph: (601) 835-9275 | Kdmc Pediatric Adolescent Clinic 509 Brookman Dr. Brookhaven MS 39601-2326 Ph: (601) 823-5204 |
NPI Number | 1275307902 |
---|---|
Provider Enumeration Date | 11/13/2023 |
Last Update Date | 11/13/2023 |
Medicare PECOS PAC ID | 3072575539 |
---|---|
Medicare Enrollment ID | O20240108005144 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275307902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
King's Daughters Primary Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 940 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-823-5000 | |
King's Daughters Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-833-7973 | |
Joseph S Moak Jr Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Biglane Drive, Brookhaven, MS 39601 Phone: 601-833-5051 Fax: 601-835-0240 | |
Doctors Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 N Jackson St, Suite A, Brookhaven, MS 39601 Phone: 601-833-9912 | |
Extended Care Clinical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 724 N Jackson St, Brookhaven, MS 39601 Phone: 601-412-4503 | |
Alexander Jr. High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Alexander Jr High School, 713 Beauregard St., Brookhaven, MS 39601 Phone: 601-833-7549 Fax: 601-835-5467 |