Moore Healthy Family Medical Clinic, Llc | |
5604 Old Canton Rd Jackson MS 39211-4217 | |
(601) 991-1044 | |
(601) 991-9868 |
Full Name | Moore Healthy Family Medical Clinic, Llc |
---|---|
Speciality | Clinic/Center |
Location | 5604 Old Canton Rd, Jackson, Mississippi |
Authorized Official Name and Position | Robert L Moore (OWNER) |
Authorized Official Contact | 6013072450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Moore Healthy Family Medical Clinic, Llc 5604 Old Canton Rd Jackson MS 39211-4217 Ph: (601) 991-1044 | Moore Healthy Family Medical Clinic, Llc 5604 Old Canton Rd Jackson MS 39211-4217 Ph: (601) 991-1044 |
NPI Number | 1205137304 |
---|---|
Provider Enumeration Date | 11/06/2010 |
Last Update Date | 04/18/2013 |
Medicare PECOS PAC ID | 6103007984 |
---|---|
Medicare Enrollment ID | O20110228000249 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205137304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | MS18036 (Mississippi) | Primary |
Provider Name | Robert L Moore |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841281276 PECOS PAC ID: 8729110317 Enrollment ID: I20100716000694 |
Ben W. Seale, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 | |
Central Mississippi Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 Highway 80 W Ste 71, Jackson, MS 39209 Phone: 601-321-2400 | |
Hni Medical Services Of Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 | |
Medical Care Associates Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 Azalea Dr, Jackson, MS 39206 Phone: 601-366-9447 | |
The Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2561 Fax: 601-376-2570 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Old Canton Rd, Jackson, MS 39211 Phone: 601-957-3333 | |
Vanessa L. Sandifer, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Drive, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 |