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1560 Sumrall Road Columbia MS 39429 | |
(601) 740-2190 | |
(601) 740-2233 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1560 Sumrall Road, Columbia, Mississippi |
Authorized Official Name and Position | Ben Hester (CFO) |
Authorized Official Contact | 6012884225 |
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 3488 Dept 05-112 Tupelo MS 38803-3488 Ph: (601) 288-2474 | 1560 Sumrall Road Columbia MS 39429 Ph: (601) 740-2190 |
NPI Number | 1427457084 |
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Provider Enumeration Date | 08/20/2014 |
Last Update Date | 09/12/2017 |
Medicare PECOS PAC ID | 1052397767 |
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Medicare Enrollment ID | O20150122002435 |
Identifier | Type | State | Issuer |
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1427457084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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