Sgh Medical Clinic | |
1827c Simpson Highway 149 Mendenhall MS 39114-3439 | |
(601) 847-2221 | |
Not Available |
Full Name | Sgh Medical Clinic |
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Speciality | Clinic/Center |
Location | 1827c Simpson Highway 149, Mendenhall, Mississippi |
Authorized Official Name and Position | Randall O. Neely (CEO) |
Authorized Official Contact | 6018477214 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sgh Medical Clinic 1842 Simpson Highway 149 Mendenhall MS 39114-3438 Ph: () - | Sgh Medical Clinic 1827c Simpson Highway 149 Mendenhall MS 39114-3439 Ph: (601) 847-2221 |
NPI Number | 1609069962 |
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Provider Enumeration Date | 08/21/2007 |
Last Update Date | 05/12/2011 |
Medicare PECOS PAC ID | 5991709750 |
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Medicare Enrollment ID | O20071030000352 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609069962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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