| Tricounty Rural Health Clinic | |
|
612 Sunflower Avenue Ext Suite 14 Indianola MS 38751-2333 | |
| (601) 720-7605 | |
| (866) 495-3240 |
| Full Name | Tricounty Rural Health Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 612 Sunflower Avenue Ext, Indianola, Mississippi |
| Authorized Official Name and Position | Parveen Kumar (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6017207605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tricounty Rural Health Clinic Po Box 2706 Madison MS 39130-2706 Ph: (601) 720-7605 | Tricounty Rural Health Clinic 612 Sunflower Avenue Ext Suite 14 Indianola MS 38751-2333 Ph: (601) 720-7605 |
| NPI Number | 1568711372 |
|---|---|
| Provider Enumeration Date | 09/07/2012 |
| Last Update Date | 09/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568711372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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