| Mississippicare 132 | |
|
1201 Office Park Dr Oxford MS 38655-3598 | |
| (870) 347-3462 | |
| (870) 301-2092 |
| Full Name | Mississippicare 132 |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 Office Park Dr, Oxford, Mississippi |
| Authorized Official Name and Position | Steven F Collier (CEO) |
| Authorized Official Contact | 8703472534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippicare 132 Po Box 497 Augusta AR 72006-0497 Ph: (870) 347-3475 | Mississippicare 132 1201 Office Park Dr Oxford MS 38655-3598 Ph: (870) 347-3462 |
| NPI Number | 1912889296 |
|---|---|
| Provider Enumeration Date | 07/25/2025 |
| Last Update Date | 09/15/2025 |
| Certification Date | 09/15/2025 |
| Medicare PECOS PAC ID | 2567370620 |
|---|---|
| Medicare Enrollment ID | O20251021003398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912889296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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