| Mchc-hospital | |
|
17280 Highway 17 Lexington MS 39095-6614 | |
| (662) 834-1857 | |
| (662) 834-0531 |
| Full Name | Mchc-hospital |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 17280 Highway 17, Lexington, Mississippi |
| Authorized Official Name and Position | Stellanda M Davis (CEO) |
| Authorized Official Contact | 6628342566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mchc-hospital 17280 Highway 17 P O Box 479 Lexington MS 39095-6614 Ph: (662) 834-1857 | Mchc-hospital 17280 Highway 17 Lexington MS 39095-6614 Ph: (662) 834-1857 |
| NPI Number | 1437490109 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 03/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437490109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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