| Sumrall Elementary School | |
|
198 Todd Rd Sumrall MS 39482-5460 | |
| (601) 758-4289 | |
| (601) 796-9437 |
| Full Name | Sumrall Elementary School |
|---|---|
| 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 | Practice Location Address |
|---|---|
| Sumrall Elementary School Po Box 1729 Hattiesburg MS 39403-1729 Ph: (601) 545-8700 | Sumrall Elementary School 198 Todd Rd Sumrall MS 39482-5460 Ph: (601) 758-4289 |
| NPI Number | 1003480278 |
|---|---|
| Provider Enumeration Date | 05/13/2021 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 2466342605 |
|---|---|
| Medicare Enrollment ID | O20220927000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003480278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Sumrall Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 Highway 42, Sumrall, MS 39482 Phone: 601-758-4214 Fax: 601-758-0614 | |
Sumrall High School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 184 Center Ave, Sumrall, MS 39482 Phone: 601-758-4730 Fax: 601-796-9437 | |
South Mississippi Emergency Physicians,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4891 Highway 589, Sumrall, MS 39482 Phone: 601-758-4606 Fax: 601-758-4615 | |
Covington Health Sumrall Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1039 Highway 42 Ste C, Sumrall, MS 39482 Phone: 601-765-6711 Fax: 601-698-0112 | |
Hattiesburg Clinic Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060 | |
Sumrall Middle School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1217 Highway 42, Sumrall, MS 39482 Phone: 601-758-4416 Fax: 601-796-9437 |