| Water Valley Rural Health Paul Odom Md | |
|
645 South Main Street Water Valley MS 38965 | |
| (662) 473-1311 | |
| (662) 473-2489 |
| Full Name | Water Valley Rural Health Paul Odom Md |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 645 South Main Street, Water Valley, Mississippi |
| Authorized Official Name and Position | Paul Leroy Odom (OWNER) |
| Authorized Official Contact | 6624731311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Water Valley Rural Health Paul Odom Md Po Box 725 645 S Main Street Water Valley MS 38965 Ph: (662) 473-1311 | Water Valley Rural Health Paul Odom Md 645 South Main Street Water Valley MS 38965 Ph: (662) 473-1311 |
| NPI Number | 1912070277 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912070277 | NPI | - | NPPES |
| 09013597 | Medicaid | MS | |
| 253848 | Other | MEDICARE RIVERBEND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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