| Camden Community Family Health Clinic, Inc. | |
|
1493 Highway 17 Camden MS 39045-9524 | |
| (601) 859-2999 | |
| (601) 859-2999 |
| Full Name | Camden Community Family Health Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1493 Highway 17, Camden, Mississippi |
| Authorized Official Name and Position | Linda P. Chambers (FAMILY NURSE PRACTITIONER/PRESIDENT) |
| Authorized Official Contact | 6018592999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camden Community Family Health Clinic, Inc. Po Box 29 Sharon MS 39163-0029 Ph: (601) 859-2999 | Camden Community Family Health Clinic, Inc. 1493 Highway 17 Camden MS 39045-9524 Ph: (601) 859-2999 |
| NPI Number | 1437404241 |
|---|---|
| Provider Enumeration Date | 07/17/2012 |
| Last Update Date | 07/17/2012 |
| Medicare PECOS PAC ID | 5496981607 |
|---|---|
| Medicare Enrollment ID | O20131118001167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437404241 | NPI | - | NPPES |
| 500002278 | Other | MEDICARE | |
| Q74410 | Other | UPIN | |
| 11890942 | Other | CAQH | |
| 03581557 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | R860655 (Mississippi) | Primary |
| Provider Name | Linda P Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023186038 PECOS PAC ID: 6406857739 Enrollment ID: I20070129000613 |
Premier Family Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1493 Highway 17, Camden, MS 39045 Phone: 769-666-9162 Fax: 877-760-0717 |