Yazoo Family Healthcare,llc | |
307 E Fifteenth St Yazoo City MS 39194-2631 | |
(662) 746-2113 | |
(662) 746-2115 |
Full Name | Yazoo Family Healthcare,llc |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 307 E Fifteenth St, Yazoo City, Mississippi |
Authorized Official Name and Position | Lori R Ledlow (OFFICE MANAGER) |
Authorized Official Contact | 6627462113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Yazoo Family Healthcare,llc 307 E Fifteenth St Yazoo City MS 39194-2631 Ph: (662) 746-2113 | Yazoo Family Healthcare,llc 307 E Fifteenth St Yazoo City MS 39194-2631 Ph: (662) 746-2113 |
NPI Number | 1770696213 |
---|---|
Provider Enumeration Date | 08/17/2006 |
Last Update Date | 06/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770696213 | NPI | - | NPPES |
425460633B | Other | MS | BLUE CROSS BLUE SHIELD |
03278771 | Medicaid | MS | |
587229770A | Other | MS | BLUE CROSS BLUE SHIELD |
00124725 | Medicaid | MS | |
587571939 | Other | MS | BLUE CROSS BLUE SHIELD |
0011803 | Medicaid | MS | |
00126250 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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