| Progressive Health Clinic Of Houston | |
|
1002 E Madison St Ste 2 Houston MS 38851-2428 | |
| (662) 456-5008 | |
| Not Available |
| Full Name | Progressive Health Clinic Of Houston |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1002 E Madison St Ste 2, Houston, Mississippi |
| Authorized Official Name and Position | Robert Quentin Whitwell (CEO) |
| Authorized Official Contact | 6627019346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Health Clinic Of Houston Po Box 432 Houston MS 38851-0432 Ph: (662) 456-5008 | Progressive Health Clinic Of Houston 1002 E Madison St Ste 2 Houston MS 38851-2428 Ph: (662) 456-5008 |
| NPI Number | 1902663388 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 07/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902663388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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