| Ummc Grenada Specialty Clinic- Winona Family Medical Clinic Rhc | |
|
418b N Applegate St Winona MS 38967-1827 | |
| (662) 283-4433 | |
| Not Available |
| Full Name | Ummc Grenada Specialty Clinic- Winona Family Medical Clinic Rhc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 418b N Applegate St, Winona, Mississippi |
| Authorized Official Name and Position | Jeffery Grimsley (ASST. CFO) |
| Authorized Official Contact | 6018159818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ummc Grenada Specialty Clinic- Winona Family Medical Clinic Rhc 418b N Applegate St Winona MS 38967-1827 Ph: (662) 283-4433 | Ummc Grenada Specialty Clinic- Winona Family Medical Clinic Rhc 418b N Applegate St Winona MS 38967-1827 Ph: (662) 283-4433 |
| NPI Number | 1528595667 |
|---|---|
| Provider Enumeration Date | 05/19/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528595667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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