| The Yazoo City Medical Clinic | |
|
805 E Fifteenth St Yazoo City MS 39194-7607 | |
| (662) 746-6083 | |
| (662) 746-1954 |
| Full Name | The Yazoo City Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 805 E Fifteenth St, Yazoo City, Mississippi |
| Authorized Official Name and Position | Heath E Scott (PRESIDENT) |
| Authorized Official Contact | 6627466083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Yazoo City Medical Clinic Po Box 1509 Yazoo City MS 39194-1509 Ph: (662) 746-6083 | The Yazoo City Medical Clinic 805 E Fifteenth St Yazoo City MS 39194-7607 Ph: (662) 746-6083 |
| NPI Number | 1770745861 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 04/22/2009 |
| Medicare PECOS PAC ID | 3476620741 |
|---|---|
| Medicare Enrollment ID | O20080929000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770745861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Heath E Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205881489 PECOS PAC ID: 3375523137 Enrollment ID: I20040722000415 |
| Provider Name | Hugh S Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316033574 PECOS PAC ID: 9830145028 Enrollment ID: I20050330001178 |
| Provider Name | Thomas P Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467886937 PECOS PAC ID: 3870716103 Enrollment ID: I20140514000675 |
| Provider Name | Terri P Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770075665 PECOS PAC ID: 7618221441 Enrollment ID: I20181114003031 |
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Yazoo City Medical Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 E Fifteenth St, Yazoo City, MS 39194 Phone: 662-746-6083 Fax: 662-746-1954 |