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

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Sumrall, Mississippi. The current practice location for is 198 Todd Rd, Sumrall, Mississippi. For appointments, you can reach them via phone at (601) 758-4289. 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 1003480278. 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) 758-4289.

Contact Information


	198 Todd Rd Sumrall MS 39482-5460
	(601) 758-4289
	(601) 796-9437

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	198 Todd Rd, Sumrall, Mississippi
Authorized Official Name and Position	Kaye Ray (CREDENTIALING COORDINATOR)
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	198 Todd Rd Sumrall MS 39482-5460 Ph: (601) 758-4289

NPI Details:

NPI Number	1003480278
Provider Enumeration Date	05/13/2021
Last Update Date	09/06/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	2466342605
Medicare Enrollment ID	O20220927000358

Medical Identifiers

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

Identifier	Type	State	Issuer
1003480278	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 Sumrall, MS

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- Medicare Primary Care in Sumrall, MS