| Martin Health Care, Llc | |
|
218 East Main St Florence MS 39073-0530 | |
| (601) 845-6602 | |
| (601) 845-6164 |
| Full Name | Martin Health Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 218 East Main St, Florence, Mississippi |
| Authorized Official Name and Position | Kelley Martin (NURSE PRACTITIONER- PRESIDENT) |
| Authorized Official Contact | 6018456602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Health Care, Llc Po Box 530 Florence MS 39073-0530 Ph: (601) 845-6602 | Martin Health Care, Llc 218 East Main St Florence MS 39073-0530 Ph: (601) 845-6602 |
| NPI Number | 1669652558 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 11/07/2007 |
| Medicare PECOS PAC ID | 4385727361 |
|---|---|
| Medicare Enrollment ID | O20080214000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669652558 | NPI | - | NPPES |
| 09016100 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R814098 (Mississippi) | Primary |
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