Mcgehee Family Health Clinic, P.a. | |
100 E Monroe St Grenada MS 38901-5249 | |
(662) 417-1710 | |
Not Available |
Full Name | Mcgehee Family Health Clinic, P.a. |
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Speciality | Clinic/Center |
Location | 100 E Monroe St, Grenada, Mississippi |
Authorized Official Name and Position | Debbie Pate Mcgehee (OWNER/FAMILY NURSE PRACTITIONER) |
Authorized Official Contact | 6624171710 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mcgehee Family Health Clinic, P.a. 100 E Monroe St Grenada MS 38901-5249 Ph: (662) 226-0600 | Mcgehee Family Health Clinic, P.a. 100 E Monroe St Grenada MS 38901-5249 Ph: (662) 417-1710 |
NPI Number | 1346552726 |
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Provider Enumeration Date | 07/13/2010 |
Last Update Date | 10/03/2023 |
Medicare PECOS PAC ID | 9335333830 |
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Medicare Enrollment ID | O20101028000969 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346552726 | NPI | - | NPPES |
00115715 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | R745671 (Mississippi) | Primary |
Provider Name | Debbie E Mcgehee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619987427 PECOS PAC ID: 4587623954 Enrollment ID: I20041011000241 |
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