<unavail> in Purvis, MS - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Purvis, Mississippi. The current practice location for is 310 Mitchell Ave, Purvis, Mississippi. For appointments, you can reach them via phone at (601) 794-2959. The mailing address for is Po Box 1729, Hattiesburg, Mississippi and phone number is (601) 545-8700.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1881268068. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 794-2959.

Contact Information


	310 Mitchell Ave Purvis MS 39475-4058
	(601) 794-2959
	(601) 796-9437

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	310 Mitchell Ave, 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 and Practice Location

Mailing Address	Practice Location Address
Po Box 1729 Hattiesburg MS 39403-1729 Ph: (601) 545-8700	310 Mitchell Ave Purvis MS 39475-4058 Ph: (601) 794-2959

NPI Details:

NPI Number	1881268068
Provider Enumeration Date	05/13/2021
Last Update Date	09/06/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	2466342605
Medicare Enrollment ID	O20221109002533

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881268068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Purvis, MS

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-794-6392
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 School Street, Purvis, MS 39475 Phone: 601-794-6221 Fax: 601-796-9437
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 424 Martin Luther King Dr, Purvis, MS 39475 Phone: 601-545-3700 Fax: 601-450-0231
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Highway 589, Purvis, MS 39475 Phone: 601-242-3030
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 School St, Purvis, MS 39475 Phone: 601-794-1068 Fax: 601-796-9437

- Medicare Primary Care in Purvis, MS