| Runnelstown Clinic | |
|
15 Pumping Station Rd Petal MS 39465-8325 | |
| (601) 583-1559 | |
| (601) 583-1573 |
| Full Name | Runnelstown Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 15 Pumping Station Rd, Petal, Mississippi |
| Authorized Official Name and Position | Bryan N Batson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6012646000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Runnelstown Clinic 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5463 | Runnelstown Clinic 15 Pumping Station Rd Petal MS 39465-8325 Ph: (601) 583-1559 |
| NPI Number | 1649356767 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649356767 | NPI | - | NPPES |
| 09014620 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Petal High School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1145 Highway 42, Petal, MS 39465 Phone: 601-545-8700 Fax: 601-450-2493 | |
Central Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 W Central Ave, Petal, MS 39465 Phone: 601-296-2552 Fax: 601-296-2397 | |
Petal Primary School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 60 Herrington Rd, Petal, MS 39465 Phone: 601-545-8700 Fax: 601-450-2493 | |
Morrison Medical Specialties Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Red Maple Trl, Petal, MS 39465 Phone: 601-606-2554 | |
Runnelstown School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9214 Highway 42, Petal, MS 39465 Phone: 601-545-8700 Fax: 601-582-5461 | |
Immediate Care- Petal Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457 |