| Walnut Medical Center | |
|
531 Main St Walnut MS 38683-9349 | |
| (662) 223-4011 | |
| (662) 223-4018 |
| Full Name | Walnut Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 531 Main St, Walnut, Mississippi |
| Authorized Official Name and Position | James D Nunnally (CEO) |
| Authorized Official Contact | 6622248951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walnut Medical Center 15921 Boundary Dr Po Box 92 Ashland MS 38603-7740 Ph: (662) 224-8951 | Walnut Medical Center 531 Main St Walnut MS 38683-9349 Ph: (662) 223-4011 |
| NPI Number | 1376938746 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 05/07/2015 |
| Medicare PECOS PAC ID | 3274513528 |
|---|---|
| Medicare Enrollment ID | O20150507001006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376938746 | NPI | - | NPPES |
| 09011971 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Treesap Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28301 Highway 15, Walnut, MS 38683 Phone: 662-223-0063 Fax: 662-223-0079 |