| Tishomingo Health Care Associates | |
|
1310 Main St Tishomingo MS 38873 | |
| (662) 471-9416 | |
| (662) 438-7760 |
| Full Name | Tishomingo Health Care Associates |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1310 Main St, Tishomingo, Mississippi |
| Authorized Official Name and Position | Sherri R Rogers (BILLING MANAGER) |
| Authorized Official Contact | 6622248951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tishomingo Health Care Associates 15921 Boundary Dr Po Box 92 Ashland MS 38603-7740 Ph: (662) 224-8951 | Tishomingo Health Care Associates 1310 Main St Tishomingo MS 38873 Ph: (662) 471-9416 |
| NPI Number | 1740676378 |
|---|---|
| Provider Enumeration Date | 04/10/2015 |
| Last Update Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740676378 | NPI | - | NPPES |
| 09011971 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |