| Shuqualak-noxubee Health Center | |
|
167 Millers Chapel Church Rd Macon MS 39341 | |
| (662) 793-4845 | |
| (844) 778-8922 |
| Full Name | Shuqualak-noxubee Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 167 Millers Chapel Church Rd, Macon, Mississippi |
| Authorized Official Name and Position | Wilbert L. Jones (CEO) |
| Authorized Official Contact | 6016930118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shuqualak-noxubee Health Center 2701 Davis St Meridian MS 39301-5708 Ph: (601) 693-0118 | Shuqualak-noxubee Health Center 167 Millers Chapel Church Rd Macon MS 39341 Ph: (662) 793-4845 |
| NPI Number | 1841397189 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 05/03/2024 |
| Medicare PECOS PAC ID | 9032027834 |
|---|---|
| Medicare Enrollment ID | O20101202001188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841397189 | NPI | - | NPPES |
| 09014690 | Medicaid | MS | |
| 009014690 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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