| Primary Health Solutions, Llc | |
|
10404 Tucker Rd Ocean Springs MS 39565-7922 | |
| (228) 354-9505 | |
| (228) 354-9575 |
| Full Name | Primary Health Solutions, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10404 Tucker Rd, Ocean Springs, Mississippi |
| Authorized Official Name and Position | Nancy Ann Buckheister (ADULT ACUTE CARE NURSE PRACTITIONER) |
| Authorized Official Contact | 2283549505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Solutions, Llc Po Box 6190 Diberville MS 39540-6190 Ph: (228) 354-9505 | Primary Health Solutions, Llc 10404 Tucker Rd Ocean Springs MS 39565-7922 Ph: (228) 354-9505 |
| NPI Number | 1336430594 |
|---|---|
| Provider Enumeration Date | 04/22/2011 |
| Last Update Date | 09/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336430594 | NPI | - | NPPES |
| 3630279 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6705 (Mississippi) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 6705 (Mississippi) | Primary |
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