| Kilmichael Hospital Kilmichael Clinic | |
|
303 Lamar Avenue Kilmichael MS 39747 | |
| (662) 262-4284 | |
| Not Available |
| Full Name | Kilmichael Hospital Kilmichael Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 303 Lamar Avenue, Kilmichael, Mississippi |
| Authorized Official Name and Position | Calvin Dexter Johnson (ADMINISTRATOR) |
| Authorized Official Contact | 6622624311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kilmichael Hospital Kilmichael Clinic 303 Lamar Avenue P.o. Box 186 Kilmichael MS 39747 Ph: (662) 262-4284 | Kilmichael Hospital Kilmichael Clinic 303 Lamar Avenue Kilmichael MS 39747 Ph: (662) 262-4284 |
| NPI Number | 1144362054 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144362054 | NPI | - | NPPES |
| 02621525 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Kilmichael Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Lamar Ave, 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 |