Kemper Family Medical Center | |
201 Birch St De Kalb MS 39328-8017 | |
(601) 743-2642 | |
(844) 778-8922 |
Full Name | Kemper Family Medical Center |
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Speciality | Clinic/Center |
Location | 201 Birch St, De Kalb, Mississippi |
Authorized Official Name and Position | Wilbert L. Jones (CEO) |
Authorized Official Contact | 6016930118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kemper Family Medical Center 2701 Davis St Meridian MS 39301-5708 Ph: (601) 693-0118 | Kemper Family Medical Center 201 Birch St De Kalb MS 39328-8017 Ph: (601) 743-2642 |
NPI Number | 1982701223 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 05/03/2024 |
Medicare PECOS PAC ID | 9032027834 |
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Medicare Enrollment ID | O20101202001258 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982701223 | NPI | - | NPPES |
009014691 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ochsner Health Center-dekalb Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30 Ponderosa Ave, De Kalb, MS 39328 Phone: 601-743-4626 Fax: 601-743-2133 |