| |
2800 N Hills St Meridian MS 39305-2643 | |
(601) 484-9906 | |
(601) 484-6704 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 2800 N Hills St, Meridian, 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 |
---|---|
Po Box 5208 Meridian MS 39302-5208 Ph: (601) 703-9393 | 2800 N Hills St Meridian MS 39305-2643 Ph: (601) 484-9906 |
NPI Number | 1891393435 |
---|---|
Provider Enumeration Date | 10/15/2020 |
Last Update Date | 04/26/2023 |
Medicare PECOS PAC ID | 2567368541 |
---|---|
Medicare Enrollment ID | O20201124000107 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891393435 | NPI | - | NPPES |
000586260 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
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 | |