| Bmc Attala Kosciusko Primary Care | |
|
220 Highway 12 W Kosciusko MS 39090-3208 | |
| (662) 289-4311 | |
| (662) 290-3255 |
| Full Name | Bmc Attala Kosciusko Primary Care |
|---|---|
| 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 Kosciusko Primary Care 350 N Humphreys Blvd Memphis TN 38120-2177 Ph: (662) 289-4311 | Bmc Attala Kosciusko Primary Care 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 |
| Certification 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 | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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