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1424 E Main St Tupelo MS 38804-2956 | |
(662) 350-3550 | |
(662) 842-3061 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1424 E Main St, Tupelo, Mississippi |
Authorized Official Name and Position | Kirnjot Singh (PRESIDENT) |
Authorized Official Contact | 2192284355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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10996 Four Seasons Pl Ste 100c Crown Point IN 46307-7762 Ph: (219) 228-1021 | 1424 E Main St Tupelo MS 38804-2956 Ph: (662) 350-3550 |
NPI Number | 1669063202 |
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Provider Enumeration Date | 01/27/2021 |
Last Update Date | 10/26/2023 |
Medicare PECOS PAC ID | 0244505840 |
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Medicare Enrollment ID | O20210216000367 |
Identifier | Type | State | Issuer |
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1669063202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Pontotoc Health Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Varsity Dr, Tupelo, MS 38801 Phone: 662-377-2386 Fax: 662-377-2057 | |
Grant Family Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Varsity Dr, Tupelo, MS 38801 Phone: 484-252-6707 | |
North Mississippi Medical Clinics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Varsity Dr, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2057 | |