Madden Medical Clinic Llc | |
1071 E Franklin St Carthage MS 39051-3601 | |
(601) 267-4562 | |
(601) 267-4589 |
Full Name | Madden Medical Clinic Llc |
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Speciality | Clinic/Center |
Location | 1071 E Franklin St, Carthage, Mississippi |
Authorized Official Name and Position | Benita Chamblee (OFFICE MANAGER) |
Authorized Official Contact | 6012674562 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Madden Medical Clinic Llc Po Box 435 Carthage MS 39051-0435 Ph: (601) 267-4562 | Madden Medical Clinic Llc 1071 E Franklin St Carthage MS 39051-3601 Ph: (601) 267-4562 |
NPI Number | 1114099439 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 07/21/2011 |
Medicare PECOS PAC ID | 4880663863 |
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Medicare Enrollment ID | O20040927000856 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114099439 | NPI | - | NPPES |
09014124 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | David Lawrence Moody |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346359197 PECOS PAC ID: 7113838715 Enrollment ID: I20040928000103 |
Provider Name | Manuel Lim Ong |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932158664 PECOS PAC ID: 1759350739 Enrollment ID: I20040928000411 |
Provider Name | Amber Atkinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417309147 PECOS PAC ID: 2860771094 Enrollment ID: I20161110002461 |
Provider Name | Julie S Herrington |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346723863 PECOS PAC ID: 6406180629 Enrollment ID: I20190621002233 |
G A Carmichael Family Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 W Franklin St, Carthage, MS 39051 Phone: 601-859-5213 Fax: 601-859-8771 | |
Bmc Leake Carthage Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Hwy 16 East, Carthage, MS 39051 Phone: 601-267-1470 Fax: 601-267-1469 | |
Sunshine Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Ellis St., Carthage, MS 39051 Phone: 601-267-0544 Fax: 601-267-5092 | |
Red Water Satellite Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1930 N Pearl St, Carthage, MS 39051 Phone: 601-656-2211 Fax: 601-663-7721 | |
Fast Pace Mississippi, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Highway 16 W, Carthage, MS 39051 Phone: 601-298-3101 Fax: 931-722-9919 | |
Vytalize Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1071 E Franklin St, Carthage, MS 39051 Phone: 601-267-4562 |