| Kilmichael Family Medical Clinic | |
|
301 Lamar Street Kilmichael MS 39747 | |
| (662) 258-6221 | |
| Not Available |
| Full Name | Kilmichael Family Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 Lamar Street, Kilmichael, Mississippi |
| Authorized Official Name and Position | Bruce Toppin (CORPORATE SECRETARY) |
| Authorized Official Contact | 6623773000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kilmichael Family Medical Clinic 456 E President Ave Tupelo MS 38801-5515 Ph: (662) 377-4685 | Kilmichael Family Medical Clinic 301 Lamar Street Kilmichael MS 39747 Ph: (662) 258-6221 |
| NPI Number | 1912382060 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 6901892421 |
|---|---|
| Medicare Enrollment ID | O20151006000912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912382060 | NPI | - | NPPES |
| 25-8615 | Other | MS | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 13225 (Mississippi) | Primary |
Kilmichael Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Lamar Ave, Kilmichael, MS 39747 Phone: 662-262-4284 | |
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 |