Rkm Primary | |
6002 Hancock Rd Gloster MS 39638-6133 | |
(601) 225-7206 | |
Not Available |
Full Name | Rkm Primary |
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Speciality | Clinic/center |
Location | 6002 Hancock Rd, Gloster, Mississippi |
Authorized Official Name and Position | Bryan Michael Baker (RN) |
Authorized Official Contact | 2256835292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rkm Primary 6002 Hancock Rd Gloster MS 39638-6133 Ph: (601) 225-7206 | Rkm Primary 6002 Hancock Rd Gloster MS 39638-6133 Ph: (601) 225-7206 |
NPI Number | 1245364876 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245364876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | RN114253 (Louisiana) | Primary |
Fmch Gloster Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 N Captain Gloster Dr, Gloster, MS 39638 Phone: 601-224-4711 | |
Fmch Gloster Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 434 N Captain Gloster Dr, Gloster, MS 39638 Phone: 601-225-4711 | |
Gloster Dental Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 253 East Main Street, Gloster, MS 39638 Phone: 601-225-4119 Fax: 601-225-4620 |