| Midtown Mobile Clinic | |
|
258 E Fortification St Jackson MS 39202-2356 | |
| (601) 815-8230 | |
| Not Available |
| Full Name | Midtown Mobile Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 258 E Fortification St, Jackson, Mississippi |
| Authorized Official Name and Position | Jeffrey Grimsley (INTERIM CFO) |
| Authorized Official Contact | 6018158732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Mobile Clinic 2500 N State St Jackson MS 39216-4500 Ph: (601) 984-6270 | Midtown Mobile Clinic 258 E Fortification St Jackson MS 39202-2356 Ph: (601) 815-8230 |
| NPI Number | 1285126029 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 06/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285126029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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