Thompson Health Care Pllc | |
427 Highway 51 N Brookhaven MS 39601-2350 | |
(601) 835-9444 | |
Not Available |
Full Name | Thompson Health Care Pllc |
---|---|
Speciality | Clinic/Center |
Location | 427 Highway 51 N, Brookhaven, Mississippi |
Authorized Official Name and Position | Emily Thompson (OWNER) |
Authorized Official Contact | 6018359444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Thompson Health Care Pllc Po Box 3864 Brookhaven MS 39603-7864 Ph: () - | Thompson Health Care Pllc 427 Highway 51 N Brookhaven MS 39601-2350 Ph: (601) 835-9444 |
NPI Number | 1295186906 |
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Provider Enumeration Date | 06/23/2016 |
Last Update Date | 07/23/2024 |
Medicare PECOS PAC ID | 0648562785 |
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Medicare Enrollment ID | O20160711000034 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295186906 | NPI | - | NPPES |
01278742 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Emily O Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598042525 PECOS PAC ID: 4385802313 Enrollment ID: I20120222000837 |
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