| Lexington Primary Care Clinic | |
|
110 Tchula St Lexington MS 39095-3111 | |
| (662) 834-1855 | |
| Not Available |
| Full Name | Lexington Primary Care Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 110 Tchula St, Lexington, Mississippi |
| Authorized Official Name and Position | Jennifer Dawne Holmes (CFO) |
| Authorized Official Contact | 6624592603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Primary Care Clinic Po Box 1410 Greenwood MS 38935-1410 Ph: (662) 834-1855 | Lexington Primary Care Clinic 110 Tchula St Lexington MS 39095-3111 Ph: (662) 834-1855 |
| NPI Number | 1841250172 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 05/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841250172 | NPI | - | NPPES |
| 09015105 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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