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511 Academy Rd Starkville MS 39759-4021 | |
(662) 323-2911 | |
(844) 778-8922 |
Full Name | |
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Speciality | Clinic/Center |
Location | 511 Academy Rd, Starkville, Mississippi |
Authorized Official Name and Position | Wilbert L. Jones (CEO) |
Authorized Official Contact | 6016930118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2701 Davis St Meridian MS 39301-5708 Ph: (601) 693-0118 | 511 Academy Rd Starkville MS 39759-4021 Ph: (662) 323-2911 |
NPI Number | 1396842027 |
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Provider Enumeration Date | 09/16/2006 |
Last Update Date | 05/16/2023 |
Medicare PECOS PAC ID | 9032027834 |
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Medicare Enrollment ID | O20030716000022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396842027 | NPI | - | NPPES |
001389094 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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