| Pearl River Family Clinic | |
|
302 Highway 11 S Poplarville MS 39470-2625 | |
| (601) 403-8284 | |
| (601) 403-8283 |
| Full Name | Pearl River Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 Highway 11 S, Poplarville, Mississippi |
| Authorized Official Name and Position | Ben Hester (CFO) |
| Authorized Official Contact | 6012884225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl River Family Clinic 125 S 28th Ave Ste 326 Hattiesburg MS 39401-7152 Ph: (601) 288-1823 | Pearl River Family Clinic 302 Highway 11 S Poplarville MS 39470-2625 Ph: (601) 403-8284 |
| NPI Number | 1770715450 |
|---|---|
| Provider Enumeration Date | 08/14/2009 |
| Last Update Date | 04/16/2020 |
| Medicare PECOS PAC ID | 1052397767 |
|---|---|
| Medicare Enrollment ID | O20200320000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770715450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 21087 (Mississippi) | Primary |
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