| Blue Mountain Family Medicine Clinic | |
|
124 North Guyton Blue Mountain MS 38610 | |
| (662) 685-4700 | |
| (662) 685-9999 |
| Full Name | Blue Mountain Family Medicine Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 124 North Guyton, Blue Mountain, Mississippi |
| Authorized Official Name and Position | Thomas Ford Barkley (VP) |
| Authorized Official Contact | 6626854700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mountain Family Medicine Clinic 124 North Guyton Blue Mountain MS 38610 Ph: (662) 685-4700 | Blue Mountain Family Medicine Clinic 124 North Guyton Blue Mountain MS 38610 Ph: (662) 685-4700 |
| NPI Number | 1235113069 |
|---|---|
| Provider Enumeration Date | 12/05/2005 |
| Last Update Date | 11/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235113069 | NPI | - | NPPES |
| 09014529 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Cotton Plant Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 County Road 714, Blue Mountain, MS 38610 Phone: 662-538-4111 Fax: 662-538-4128 | |
Thompson Medical Service, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Hwy 15 North, Blue Mountain, MS 38610 Phone: 662-316-0414 | |
Family Clinic Of Cotton Plant, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 County Road 714, Blue Mountain, MS 38610 Phone: 662-538-4111 Fax: 662-538-4128 | |
Phyllis G Koonce Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 County Road 714, Blue Mountain, MS 38610 Phone: 662-538-4111 Fax: 662-538-4128 |