| Burnsville Medical Clinic | |
|
296 Highway 72 Burnsville MS 38833-9104 | |
| (662) 427-2073 | |
| (662) 427-2074 |
| Full Name | Burnsville Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 296 Highway 72, Burnsville, Mississippi |
| Authorized Official Name and Position | Bruce J Toppin (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 6623774229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burnsville Medical Clinic 456 E President Ave Tupelo MS 38801-5515 Ph: (662) 377-4685 | Burnsville Medical Clinic 296 Highway 72 Burnsville MS 38833-9104 Ph: (662) 427-2073 |
| NPI Number | 1770938979 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 07/14/2022 |
| Medicare PECOS PAC ID | 2466354303 |
|---|---|
| Medicare Enrollment ID | O20220826001417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770938979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 13-221 (Mississippi) | Primary |
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