| Tallachatchie School Based Clinic | |
|
Friendship Rd Sumner MS 38957 | |
| (662) 375-8818 | |
| (662) 375-8646 |
| Full Name | Tallachatchie School Based Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | Friendship Rd, Sumner, Mississippi |
| Authorized Official Name and Position | Aurelia Taylor (CHEIF EXECUTIVE OFFICE) |
| Authorized Official Contact | 6626244292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallachatchie School Based Clinic 510 Highway 322 P O Box 1216 Clarksdale MS 38614-4717 Ph: (662) 624-4292 | Tallachatchie School Based Clinic Friendship Rd Sumner MS 38957 Ph: (662) 375-8818 |
| NPI Number | 1043212996 |
|---|---|
| Provider Enumeration Date | 08/11/2005 |
| Last Update Date | 10/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043212996 | NPI | - | NPPES |
| 08982230 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Cassidy Bayou Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2372 Us 49-e, Sumner, MS 38957 Phone: 662-375-9310 | |
Sumner Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Court St, Sumner, MS 38957 Phone: 662-375-9989 | |
Westside Family Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2372 Ms Highway 49 East, Sumner, MS 38957 Phone: 662-375-9310 Fax: 662-375-9311 |