| Access Family Health - Tupelo | |
|
499 Gloster Creek Vlg Suite D-1 Tupelo MS 38801-4600 | |
| (662) 690-8007 | |
| (662) 842-4653 |
| Full Name | Access Family Health - Tupelo |
|---|---|
| Speciality | Clinic/Center |
| Location | 499 Gloster Creek Vlg, Tupelo, Mississippi |
| Authorized Official Name and Position | Marilyn Sumerford (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6626514686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Family Health - Tupelo 499 Gloster Creek Vlg Suite D-1 Tupelo MS 38801-4600 Ph: (662) 690-8007 | Access Family Health - Tupelo 499 Gloster Creek Vlg Suite D-1 Tupelo MS 38801-4600 Ph: (662) 690-8007 |
| NPI Number | 1194991976 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 08/09/2011 |
| Medicare PECOS PAC ID | 4082509492 |
|---|---|
| Medicare Enrollment ID | O20080620000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194991976 | NPI | - | NPPES |
| DB3359 | Other | MS | RAILROAD MEDICARE PTAN |
| 05935316 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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