Ochsner Health Center- Collinsville | |
9097 Collinsville Rd Collinsville MS 39325-9779 | |
(601) 626-8874 | |
(601) 626-8592 |
Full Name | Ochsner Health Center- Collinsville |
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Speciality | Clinic/Center |
Location | 9097 Collinsville Rd, Collinsville, Mississippi |
Authorized Official Name and Position | Don Larkin Kennedy (REGIONAL CEO) |
Authorized Official Contact | 6017039614 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ochsner Health Center- Collinsville Dept. 3023, Po Box 1000 Memphis TN 38148-3023 Ph: (601) 213-3010 | Ochsner Health Center- Collinsville 9097 Collinsville Rd Collinsville MS 39325-9779 Ph: (601) 626-8874 |
NPI Number | 1073959375 |
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Provider Enumeration Date | 05/14/2013 |
Last Update Date | 04/26/2023 |
Medicare PECOS PAC ID | 7214991769 |
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Medicare Enrollment ID | O20130711000664 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073959375 | NPI | - | NPPES |
007379233 | Medicaid | MS |
Kid's Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9325c Highway 19 N, Collinsville, MS 39325 Phone: 601-427-2752 Fax: 601-427-2800 |