Full Name | |
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Speciality | Clinic/Center |
Location | 200 School Street, Purvis, Mississippi |
Authorized Official Name and Position | Kaye Ray (CEO) |
Authorized Official Contact | 6015458700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1729 Hattiesburg MS 39403-1729 Ph: (601) 545-8700 | 200 School Street Purvis MS 39475 Ph: (601) 794-6221 |
NPI Number | 1396319570 |
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Provider Enumeration Date | 05/13/2021 |
Last Update Date | 09/06/2022 |
Medicare PECOS PAC ID | 2466342605 |
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Medicare Enrollment ID | O20220921002457 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396319570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |