| Kilmichael Clinic | |
|
400 Lamar Ave Kilmichael MS 39747 | |
| (662) 262-4284 | |
| Not Available |
| Full Name | Kilmichael Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Lamar Ave, Kilmichael, Mississippi |
| Authorized Official Name and Position | Dawne Holmes (CFO) |
| Authorized Official Contact | 6624597119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kilmichael Clinic Po Box 1410 Greenwood MS 38935-1410 Ph: (662) 262-4284 | Kilmichael Clinic 400 Lamar Ave Kilmichael MS 39747 Ph: (662) 262-4284 |
| NPI Number | 1124088299 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 06/24/2020 |
| Medicare PECOS PAC ID | 9537126354 |
|---|---|
| Medicare Enrollment ID | O20041214000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124088299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Leslie B Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114445764 PECOS PAC ID: 4183989189 Enrollment ID: I20180907001115 |
Kilmichael Hospital Kilmichael Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Lamar Avenue, Kilmichael, MS 39747 Phone: 662-262-4284 | |
Tyler Holmes Kilmichael Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Lamar Ave, Kilmichael, MS 39747 Phone: 662-283-4114 | |
Kilmichael Hospital Professional Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Lamar Ave., Kilmichael, MS 39747 Phone: 662-262-4311 Fax: 662-262-5586 | |
Kilmichael Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Lamar Street, Kilmichael, MS 39747 Phone: 662-258-6221 |