Maximum Care After Hours Clinic, Llc | |
212 Highway 61 Shaw MS 38773-3877 | |
(662) 588-8009 | |
Not Available |
Full Name | Maximum Care After Hours Clinic, Llc |
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Speciality | Clinic/Center |
Location | 212 Highway 61, Shaw, Mississippi |
Authorized Official Name and Position | Tammarin Collins (FAMILY NURSE PRACTITIONER) |
Authorized Official Contact | 6625888009 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maximum Care After Hours Clinic, Llc Po Box 26 Shaw MS 38773-0026 Ph: (662) 588-8009 | Maximum Care After Hours Clinic, Llc 212 Highway 61 Shaw MS 38773-3877 Ph: (662) 588-8009 |
NPI Number | 1669018008 |
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Provider Enumeration Date | 11/20/2019 |
Last Update Date | 01/23/2020 |
Medicare PECOS PAC ID | 5395173355 |
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Medicare Enrollment ID | O20200325002049 |
Identifier | Type | State | Issuer |
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1669018008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Tammarin S Collins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184129306 PECOS PAC ID: 8820342280 Enrollment ID: I20181121001571 |
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