Main Street Medical Clinic Of Morton | |
347 S 4th St Morton MS 39117-3407 | |
(601) 732-1524 | |
(601) 732-1572 |
Full Name | Main Street Medical Clinic Of Morton |
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Speciality | Clinic/Center |
Location | 347 S 4th St, Morton, Mississippi |
Authorized Official Name and Position | John P Lee (CHAIRMAN OF THE BOARD) |
Authorized Official Contact | 6014694861 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Main Street Medical Clinic Of Morton 347 S 4th St Morton MS 39117-3407 Ph: (601) 732-1524 | Main Street Medical Clinic Of Morton 347 S 4th St Morton MS 39117-3407 Ph: (601) 732-1524 |
NPI Number | 1952694994 |
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Provider Enumeration Date | 05/24/2011 |
Last Update Date | 05/26/2020 |
Medicare PECOS PAC ID | 0840197232 |
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Medicare Enrollment ID | O20120518000166 |
Identifier | Type | State | Issuer |
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1952694994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Children's International, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3016 Highway 80, Morton, MS 39117 Phone: 601-732-2382 Fax: 601-732-2384 | |
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