State Of Mississippi - University Of Mississippi Medical Center | |
203 9th St Greenwood MS 38930-4015 | |
(662) 227-7000 | |
Not Available |
Full Name | State Of Mississippi - University Of Mississippi Medical Center |
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Speciality | Clinic/Center |
Location | 203 9th St, Greenwood, Mississippi |
Authorized Official Name and Position | Scott Whittemore (CFO) |
Authorized Official Contact | 6622277172 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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State Of Mississippi - University Of Mississippi Medical Center 960 Avent Dr Grenada MS 38901-5230 Ph: (662) 227-7172 | State Of Mississippi - University Of Mississippi Medical Center 203 9th St Greenwood MS 38930-4015 Ph: (662) 227-7000 |
NPI Number | 1225800428 |
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Provider Enumeration Date | 10/23/2023 |
Last Update Date | 10/23/2023 |
Medicare PECOS PAC ID | 1850293036 |
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Medicare Enrollment ID | O20231117002206 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225800428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Greenwood Comprehensive Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 517 Highway 82 W, Greenwood, MS 38930 Phone: 662-455-6767 Fax: 662-455-1774 | |
Michael T. Boler, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Walthall St, Greenwood, MS 38930 Phone: 662-453-5331 Fax: 662-453-5332 | |
Dr Charles L Nause Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 E Market St, Greenwood, MS 38930 Phone: 662-453-5460 Fax: 662-453-5551 |