| Tri-lakes Pediatric Rhc Clinic | |
|
435 Highway 6 E Batesville MS 38606-3001 | |
| (662) 563-7873 | |
| (662) 563-8129 |
| Full Name | Tri-lakes Pediatric Rhc Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 435 Highway 6 E, Batesville, Mississippi |
| Authorized Official Name and Position | Jenny Herron (HMPN) |
| Authorized Official Contact | 6625635611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-lakes Pediatric Rhc Clinic Po Box 731804 Dallas TX 75373-1084 Ph: (662) 563-7873 | Tri-lakes Pediatric Rhc Clinic 435 Highway 6 E Batesville MS 38606-3001 Ph: (662) 563-7873 |
| NPI Number | 1508936485 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 04/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508936485 | NPI | - | NPPES |
| 09409733 | Medicaid | MS | |
| 258516 | Other | MS | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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