| Kilmichael Hospital Professional Group | |
|
301 Lamar Ave. Kilmichael MS 39747-0188 | |
| (662) 262-4311 | |
| (662) 262-5586 |
| Full Name | Kilmichael Hospital Professional Group |
|---|---|
| Speciality | Radiology - Diagnostic Radiology |
| Location | 301 Lamar Ave., 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 Professional Group Po Box 188 Kilmichael MS 39747-0188 Ph: (662) 262-4311 | Kilmichael Hospital Professional Group 301 Lamar Ave. Kilmichael MS 39747-0188 Ph: (662) 262-4311 |
| NPI Number | 1518176445 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 05/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518176445 | NPI | - | NPPES |
| 03335377 | Medicaid | MS | |
| 19147 | Other | MS | PROFESSIONAL COMPONENT |
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 Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Lamar Street, Kilmichael, MS 39747 Phone: 662-258-6221 |