| New Albany Medical Clinic | |
|
400 Doctors Dr New Albany MS 38652-3109 | |
| (662) 534-5036 | |
| Not Available |
| Full Name | New Albany Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Doctors Dr, New Albany, Mississippi |
| Authorized Official Name and Position | Bruce Toppin (CORPORATE SECRETARY) |
| Authorized Official Contact | 6623773000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Albany Medical Clinic 400 Doctors Dr New Albany MS 38652-3109 Ph: (662) 534-5682 | New Albany Medical Clinic 400 Doctors Dr New Albany MS 38652-3109 Ph: (662) 534-5036 |
| NPI Number | 1063813335 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 6002895356 |
|---|---|
| Medicare Enrollment ID | O20141014000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063813335 | NPI | - | NPPES |
| 25-8603 | Other | MS | RURAL MEDICARE |
| 419273 | Other | MS | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 16091 (Mississippi) | Primary |
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