| Access School Health - South Pontotoc | |
|
1523 S Pontotoc Rd Pontotoc MS 38863-9382 | |
| (662) 489-5941 | |
| (662) 489-1757 |
| Full Name | Access School Health - South Pontotoc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1523 S Pontotoc Rd, Pontotoc, Mississippi |
| Authorized Official Name and Position | Shelia Cowley (DATA & REPORTING MANAGER) |
| Authorized Official Contact | 6626514637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access School Health - South Pontotoc Po Box 305 Smithville MS 38870-0305 Ph: (662) 651-4637 | Access School Health - South Pontotoc 1523 S Pontotoc Rd Pontotoc MS 38863-9382 Ph: (662) 489-5941 |
| NPI Number | 1386136752 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 4082509492 |
|---|---|
| Medicare Enrollment ID | O20180716001358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386136752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Access School Health - Pontotoc Main Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 E Oxford St, Pontotoc, MS 38863 Phone: 662-489-3336 | |
Flavia H West Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 S Main St, Pontotoc, MS 38863 Phone: 662-489-5038 Fax: 662-489-7004 | |
Pontotoc Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 345 Highway 15 N, Pontotoc, MS 38863 Phone: 662-489-7430 | |
Pontotoc Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Highway 15 N, Pontotoc, MS 38863 Phone: 662-489-7430 Fax: 662-489-7938 | |
Lauderdale Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11 E Jefferson St, Pontotoc, MS 38863 Phone: 662-419-1260 | |
Mississippicare 113 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 353 Highway 15 N, Pontotoc, MS 38863 Phone: 662-490-1985 Fax: 662-490-1989 |