| Calhoun Medical Clinic, LLC | |
|
5135 Hwy 84w Laurel MS 39443 | |
| (601) 340-3544 | |
| (601) 651-2926 |
| Full Name | Calhoun Medical Clinic, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 5135 Hwy 84w, Laurel, Mississippi |
| Authorized Official Name and Position | Charlotte F Deloach (CFO) |
| Authorized Official Contact | 6014332998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calhoun Medical Clinic, LLC 5135 Hwy 84w Laurel MS 39443 Ph: (601) 340-3544 | Calhoun Medical Clinic, LLC 5135 Hwy 84w Laurel MS 39443 Ph: (601) 340-3544 |
| NPI Number | 1558713511 |
|---|---|
| Provider Enumeration Date | 07/01/2016 |
| Last Update Date | 07/01/2016 |
| Medicare PECOS PAC ID | 0941596084 |
|---|---|
| Medicare Enrollment ID | O20160915001795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558713511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14545 (Mississippi) | Primary |
| Provider Name | Mark a Deloach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679681894 PECOS PAC ID: 4880620566 Enrollment ID: I20050722000525 |
| Provider Name | Melissa a James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356664825 PECOS PAC ID: 4688704992 Enrollment ID: I20100614000255 |
| Provider Name | Kenneth M Craven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750325528 PECOS PAC ID: 9537299680 Enrollment ID: I20100616000255 |
| Provider Name | Stephanie D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003055005 PECOS PAC ID: 8820113715 Enrollment ID: I20100915000975 |
| Provider Name | Kendall Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134491806 PECOS PAC ID: 0840458592 Enrollment ID: I20120227000333 |
| Provider Name | Eva D Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093460099 PECOS PAC ID: 1355729708 Enrollment ID: I20220526000654 |
| Provider Name | Baley Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952009805 PECOS PAC ID: 2466818067 Enrollment ID: I20230524003170 |
South Central Urgent Care and Industrial Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1515 Jefferson St, Laurel, MS 39440 Phone: 601-426-3421 Fax: 601-426-2493 |
The Fhc Foundation for Health Care Disparities, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 |
SC Wound Care & Hyperbaric Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4739 Fax: 601-426-4739 |
Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-428-6561 |
Family Health Center Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-422-0431 |
Jefferson Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 |