Tunica Resorts Medical Clinic | |
11273 U S Highway 61 North Tunica Resorts MS 38664 | |
(662) 363-3224 | |
(662) 363-3234 |
Full Name | Tunica Resorts Medical Clinic |
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Speciality | Clinic/Center |
Location | 11273 U S Highway 61 North, Tunica Resorts, Mississippi |
Authorized Official Name and Position | Barbara Conway (CLINIC OPERATIONS OFFICER) |
Authorized Official Contact | 6623633224 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tunica Resorts Medical Clinic Po Box 789 Tunica MS 38676-0789 Ph: (662) 363-1465 | Tunica Resorts Medical Clinic 11273 U S Highway 61 North Tunica Resorts MS 38664 Ph: (662) 363-3224 |
NPI Number | 1629164512 |
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Provider Enumeration Date | 10/05/2006 |
Last Update Date | 06/18/2018 |
Medicare PECOS PAC ID | 6608898499 |
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Medicare Enrollment ID | O20170816001732 |
Identifier | Type | State | Issuer |
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1629164512 | NPI | - | NPPES |
09015211 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | 09015211 (Mississippi) | Primary |