North Mississippi Primary Health Care, Inc. | |
15931 Boundary Drive Ashland MS 38603 | |
(662) 502-3149 | |
Not Available |
Full Name | North Mississippi Primary Health Care, Inc. |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 15931 Boundary Drive, Ashland, Mississippi |
Authorized Official Name and Position | William Hardee Stone (CEO) |
Authorized Official Contact | 6625023149 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Mississippi Primary Health Care, Inc. Po Box 92 Ashland MS 38603-0092 Ph: (662) 502-3149 | North Mississippi Primary Health Care, Inc. 15931 Boundary Drive Ashland MS 38603 Ph: (662) 502-3149 |
NPI Number | 1073347084 |
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Provider Enumeration Date | 08/30/2024 |
Last Update Date | 08/30/2024 |
Identifier | Type | State | Issuer |
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1073347084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
North Mississippi Primary Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16025 Boundary Drive, Ashland, MS 38603 Phone: 662-502-3137 Fax: 662-224-6801 | |
North Mississippi Primary Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15921 Boundary Dr, Ashland, MS 38603 Phone: 662-224-8951 Fax: 662-224-6801 |