Raleigh Family Health Clinic Pllc | |
234 Magnolia Dr Raleigh MS 39153-6016 | |
(601) 822-5002 | |
(601) 782-4501 |
Full Name | Raleigh Family Health Clinic Pllc |
---|---|
Speciality | Clinic/Center |
Location | 234 Magnolia Dr, Raleigh, Mississippi |
Authorized Official Name and Position | Charlotte Deloach (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 6013403544 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Raleigh Family Health Clinic Pllc P.o. Box 723 Bay Springs MS 39422-9055 Ph: (601) 782-4501 | Raleigh Family Health Clinic Pllc 234 Magnolia Dr Raleigh MS 39153-6016 Ph: (601) 822-5002 |
NPI Number | 1497173942 |
---|---|
Provider Enumeration Date | 04/02/2014 |
Last Update Date | 02/06/2020 |
Medicare PECOS PAC ID | 5799902789 |
---|---|
Medicare Enrollment ID | O20140815000301 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497173942 | NPI | - | NPPES |
Provider Name | Mark A Deloach |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679681894 PECOS PAC ID: 4880620566 Enrollment ID: I20050722000525 |
Provider Name | Kenneth M Craven |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750325528 PECOS PAC ID: 9537299680 Enrollment ID: I20100616000255 |
Provider Name | Stephanie D Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003055005 PECOS PAC ID: 8820113715 Enrollment ID: I20100915000975 |
Provider Name | Jessica A Garner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982913729 PECOS PAC ID: 2466635438 Enrollment ID: I20110329000471 |
Provider Name | Leslie A Fisher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811414196 PECOS PAC ID: 0749555621 Enrollment ID: I20171003004592 |
Provider Name | Courtney J Sims |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881227759 PECOS PAC ID: 8729419692 Enrollment ID: I20200508000405 |
Provider Name | Jakob Wayne Slusher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265047484 PECOS PAC ID: 1153749205 Enrollment ID: I20200922001592 |
Provider Name | Brittany Alane Mccarty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114689692 PECOS PAC ID: 2567852726 Enrollment ID: I20211201002296 |
Provider Name | Baley Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952009805 PECOS PAC ID: 2466818067 Enrollment ID: I20230524003170 |
St Dominic Raleigh Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 Magnolia Dr, Raleigh, MS 39153 Phone: 601-200-6809 Fax: 601-200-5929 | |
Patients Choice Clinic Of Raleigh Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 347 Magnolia Dr, Raleigh, MS 39153 Phone: 601-782-9997 | |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 226 Whiteoak Ave, Raleigh, MS 39153 Phone: 601-825-7280 Fax: 601-825-8130 | |
Independent Healthcare Management, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 Magnolia Dr, Raleigh, MS 39153 Phone: 601-200-6809 |