Thompson Medical Service | |
1200 Hwy 15 North Blue Mountain MS 38610 | |
(662) 316-0414 | |
Not Available |
Full Name | Thompson Medical Service |
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Speciality | General Practice |
Location | 1200 Hwy 15 North, Blue Mountain, Mississippi |
Authorized Official Name and Position | Rebecca Thompson (OWNER) |
Authorized Official Contact | 6623160414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thompson Medical Service Po Box 1036 New Albany MS 38652-1036 Ph: (662) 316-0414 | Thompson Medical Service 1200 Hwy 15 North Blue Mountain MS 38610 Ph: (662) 316-0414 |
NPI Number | 1770050908 |
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Provider Enumeration Date | 10/25/2018 |
Last Update Date | 02/20/2019 |
Medicare PECOS PAC ID | 7012256365 |
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Medicare Enrollment ID | O20190304001324 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770050908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Timothy Frank Thompson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376518308 PECOS PAC ID: 3870645963 Enrollment ID: I20090721000503 |
Provider Name | Rebecca C Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598045833 PECOS PAC ID: 4587835194 Enrollment ID: I20120703000588 |
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