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2514 67th Avenue Loop Suite 112 Meridian MS 39307-7259 | |
(601) 553-0707 | |
(601) 553-0775 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2514 67th Avenue Loop, Meridian, Mississippi |
Authorized Official Name and Position | John Anderson (VP) |
Authorized Official Contact | 6017035010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2124 14th St Meridian MS 39301-4040 Ph: () - | 2514 67th Avenue Loop Suite 112 Meridian MS 39307-7259 Ph: (601) 553-0707 |
NPI Number | 1285073353 |
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Provider Enumeration Date | 06/21/2013 |
Last Update Date | 06/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285073353 | NPI | - | NPPES |
00756211 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Greater Meridian Health Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Greater Meridian Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Primary Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Meridian, MS 39301 Phone: 601-646-0898 | |