| Mineral Springs Health Care,pllc | |
|
1448 River View Dr Iuka MS 38852-8389 | |
| (662) 424-3290 | |
| Not Available |
| Full Name | Mineral Springs Health Care,pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1448 River View Dr, Iuka, Mississippi |
| Authorized Official Name and Position | Margaret M Glynn (PRESIDENT) |
| Authorized Official Contact | 6624243290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mineral Springs Health Care,pllc 1448 River View Dr Iuka MS 38852-8389 Ph: () - | Mineral Springs Health Care,pllc 1448 River View Dr Iuka MS 38852-8389 Ph: (662) 424-3290 |
| NPI Number | 1306256060 |
|---|---|
| Provider Enumeration Date | 05/04/2014 |
| Last Update Date | 05/04/2014 |
| Medicare PECOS PAC ID | 1557689304 |
|---|---|
| Medicare Enrollment ID | O20150408000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306256060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12314 (Mississippi) | Primary |
| 208000000X | Pediatrics | 12314 (Mississippi) | Secondary |
| Provider Name | Margaret M Glynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750386488 PECOS PAC ID: 7315858206 Enrollment ID: I20100331000121 |
| Provider Name | Sara S Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164891438 PECOS PAC ID: 8426353160 Enrollment ID: I20160218000496 |
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