Tutwiler Clinic | |
205 Alma St Tutwiler MS 38963-5067 | |
(662) 345-8334 | |
Not Available |
Full Name | Tutwiler Clinic |
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Speciality | Clinic/Center |
Location | 205 Alma St, Tutwiler, Mississippi |
Authorized Official Name and Position | Tina Rene Vest (BILLING MANAGER) |
Authorized Official Contact | 6626257111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tutwiler Clinic Po Box 230 Charleston MS 38921-0240 Ph: (662) 647-5535 | Tutwiler Clinic 205 Alma St Tutwiler MS 38963-5067 Ph: (662) 345-8334 |
NPI Number | 1609322205 |
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Provider Enumeration Date | 09/01/2016 |
Last Update Date | 06/21/2021 |
Medicare PECOS PAC ID | 1052208097 |
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Medicare Enrollment ID | O20161227000218 |
Identifier | Type | State | Issuer |
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1609322205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Tutwiler Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Alma St, Tutwiler, MS 38963 Phone: 662-345-8334 Fax: 662-345-8336 |