| River Region Rural Health - Sc | |
|
2200 Highway 61 N Vicksburg MS 39183-8246 | |
| (601) 883-3300 | |
| (601) 883-3302 |
| Full Name | River Region Rural Health - Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2200 Highway 61 N, Vicksburg, Mississippi |
| Authorized Official Name and Position | Kristy Music (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8778929815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Region Rural Health - Sc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 778-8071 | River Region Rural Health - Sc 2200 Highway 61 N Vicksburg MS 39183-8246 Ph: (601) 883-3300 |
| NPI Number | 1861622268 |
|---|---|
| Provider Enumeration Date | 07/20/2009 |
| Last Update Date | 11/05/2024 |
| Medicare PECOS PAC ID | 5890696330 |
|---|---|
| Medicare Enrollment ID | O20090903000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861622268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Mississippi) | Primary |
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