| Bmc - Attala, Llc | |
|
220 Highway 12 W Kosciusko MS 39090-3208 | |
| (662) 289-4311 | |
| (662) 290-3255 |
| Full Name | Bmc - Attala, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 220 Highway 12 W, Kosciusko, Mississippi |
| Authorized Official Name and Position | Gregory M Duckett (SR VP/CLO) |
| Authorized Official Contact | 9012275233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmc - Attala, Llc 350 N Humphreys Blvd Memphis TN 38120-2177 Ph: (662) 289-4311 | Bmc - Attala, Llc 220 Highway 12 W Kosciusko MS 39090-3208 Ph: (662) 289-4311 |
| NPI Number | 1023481595 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 09/30/2020 |
| Medicare PECOS PAC ID | 6204142771 |
|---|---|
| Medicare Enrollment ID | O20160210001733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023481595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Trace Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 662-289-9155 Fax: 662-289-7752 | |
Trace Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 662-289-9155 Fax: 662-289-7752 | |
Premier Medical Group Of Mississippi Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 332 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-1800 | |
Fast Pace Mississippi, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 931-253-1101 Fax: 931-722-9919 |