Purvis Family Practice Clinic | |
102 Shelby Speights Dr Purvis MS 39475-4151 | |
(601) 794-8065 | |
(601) 794-5650 |
Full Name | Purvis Family Practice Clinic |
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Speciality | Family Medicine |
Location | 102 Shelby Speights Dr, Purvis, Mississippi |
Authorized Official Name and Position | Bryan N Batson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6012646000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Purvis Family Practice Clinic 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5463 | Purvis Family Practice Clinic 102 Shelby Speights Dr Purvis MS 39475-4151 Ph: (601) 794-8065 |
NPI Number | 1265532584 |
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Provider Enumeration Date | 09/25/2006 |
Last Update Date | 02/18/2021 |
Medicare PECOS PAC ID | 5193706794 |
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Medicare Enrollment ID | O20100930087128 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265532584 | NPI | - | NPPES |
1527661 | Medicaid | LA | |
09013970 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
The Family Clinic - Purvis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-794-6392 | |
Purvis High School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 School Street, Purvis, MS 39475 Phone: 601-794-6221 Fax: 601-796-9437 | |
Lamar County School Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 424 Martin Luther King Dr, Purvis, MS 39475 Phone: 601-545-3700 Fax: 601-450-0231 | |
Purvis Upper Elementary School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Mitchell Ave, Purvis, MS 39475 Phone: 601-794-2959 Fax: 601-796-9437 | |
Primecare Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Highway 589, Purvis, MS 39475 Phone: 601-242-3030 | |
Purvis Middle School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 School St, Purvis, MS 39475 Phone: 601-794-1068 Fax: 601-796-9437 |