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1080 Highway 35 S Forest MS 39074-9423 | |
(601) 469-3555 | |
(601) 469-3584 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1080 Highway 35 S, Forest, Mississippi |
Authorized Official Name and Position | Don Larkin Kennedy (REGIONAL CEO) |
Authorized Official Contact | 6017039614 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dept 3029 Po Box 1000 Memphis TN 38148-3029 Ph: (601) 213-3010 | 1080 Highway 35 S Forest MS 39074-9423 Ph: (601) 469-3555 |
NPI Number | 1679831531 |
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Provider Enumeration Date | 04/30/2012 |
Last Update Date | 04/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679831531 | NPI | - | NPPES |
002838364 | Medicaid | MS |
Forest Family Practice Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Ln, Forest, MS 39074 Phone: 601-469-4861 Fax: 601-469-4828 | |
Independent Healthcare Management, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 Airport Rd, Forest, MS 39074 Phone: 601-469-4151 Fax: 601-469-3681 | |