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64 N Louisville St Ackerman MS 39735-9217 | |
(662) 285-9050 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 64 N Louisville St, Ackerman, Mississippi |
Authorized Official Name and Position | Joseph S Mcnulty (CEO) |
Authorized Official Contact | 6622859050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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64 N Louisville St Ackerman MS 39735-9217 Ph: (662) 285-9050 | 64 N Louisville St Ackerman MS 39735-9217 Ph: (662) 285-9050 |
NPI Number | 1164703880 |
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Provider Enumeration Date | 09/08/2011 |
Last Update Date | 02/26/2014 |
Identifier | Type | State | Issuer |
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1164703880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (Mississippi) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Blissful Nursing And Mental Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8900ms Highway 15, Ackerman, MS 39735 Phone: 662-387-7167 | |