| Tunica Rosa Fort School Based Clinic | |
|
744 School St Tunica MS 38676-9369 | |
| (662) 363-3971 | |
| (662) 363-3789 |
| Full Name | Tunica Rosa Fort School Based Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 744 School St, Tunica, Mississippi |
| Authorized Official Name and Position | Aurelia Taylor (CHEIF EXECUTIVE OFFICE) |
| Authorized Official Contact | 6626244292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tunica Rosa Fort School Based Clinic 510 Highway 322 P O Box 1216 Clarksdale MS 38614-4717 Ph: (662) 624-4292 | Tunica Rosa Fort School Based Clinic 744 School St Tunica MS 38676-9369 Ph: (662) 363-3971 |
| NPI Number | 1912905993 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 06/01/2020 |
| Medicare PECOS PAC ID | 1153230560 |
|---|---|
| Medicare Enrollment ID | O20030304000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912905993 | NPI | - | NPPES |
| 01173078 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Tunica Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1813 U. S. Highway 61 North, Tunica, MS 38676 Phone: 662-357-0012 Fax: 662-357-0021 | |
Tunica County Healthcare Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 Highway 61 N, Tunica, MS 38676 Phone: 662-357-0012 Fax: 662-357-0021 | |
Aaron E Henry Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1820 Peabody St, Tunica, MS 38676 Phone: 662-363-3656 Fax: 662-363-3789 | |
Tunica Medical Clinic Infusion Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 Highway 61 N Ste A, Tunica, MS 38676 Phone: 662-357-0012 |