| |
602 N Jefferson St Macon MS 39341-2242 | |
(662) 726-5831 | |
(662) 726-4638 |
Full Name | |
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Speciality | Clinic/Center |
Location | 602 N Jefferson St, Macon, Mississippi |
Authorized Official Name and Position | Danny H Mckay (ADMINISTRATOR) |
Authorized Official Contact | 6627264231 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 480 Macon MS 39341-0480 Ph: (662) 726-5831 | 602 N Jefferson St Macon MS 39341-2242 Ph: (662) 726-5831 |
NPI Number | 1700062734 |
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Provider Enumeration Date | 01/22/2008 |
Last Update Date | 10/22/2010 |
Medicare PECOS PAC ID | 9335130798 |
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Medicare Enrollment ID | O20080623000482 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700062734 | NPI | - | NPPES |
09014931 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Trinity Mobile Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15865 Highway 14 West, Macon, MS 39341 Phone: 662-435-7800 | |
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Morris Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 North Jefferson St, Macon, MS 39341 Phone: 662-726-4231 Fax: 662-726-9339 | |