Starkville Urgent Care Clinic | |
1201 Stark Road Starkville MS 39760 | |
(662) 324-9760 | |
(662) 324-9761 |
Full Name | Starkville Urgent Care Clinic |
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Speciality | Family Medicine |
Location | 1201 Stark Road, Starkville, Mississippi |
Authorized Official Name and Position | Mary Beth Hillman (CEO) |
Authorized Official Contact | 6623249760 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Starkville Urgent Care Clinic Po Box 845 1201 Stark Road Starkville MS 39760-0845 Ph: (662) 324-9760 | Starkville Urgent Care Clinic 1201 Stark Road Starkville MS 39760 Ph: (662) 324-9760 |
NPI Number | 1417280884 |
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Provider Enumeration Date | 09/16/2009 |
Last Update Date | 03/04/2015 |
Medicare PECOS PAC ID | 8820283310 |
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Medicare Enrollment ID | O20101110000276 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417280884 | NPI | - | NPPES |
05731806 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 06420 (Mississippi) | Primary |
Provider Name | Joseph C Hillman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043433931 PECOS PAC ID: 6204726276 Enrollment ID: I20040317000200 |
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