| Children's Clinic | |
|
199 Grandstand Place Tupelo MS 38804 | |
| (662) 377-7337 | |
| (662) 842-1350 |
| Full Name | Children's Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 199 Grandstand Place, Tupelo, Mississippi |
| Authorized Official Name and Position | Bruce Toppin (CORPORATE SECRETARY) |
| Authorized Official Contact | 6623774229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Clinic 808 Varsity Dr Tupelo MS 38801-4613 Ph: (662) 377-2386 | Children's Clinic 199 Grandstand Place Tupelo MS 38804 Ph: (662) 377-7337 |
| NPI Number | 1649727447 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Medicare PECOS PAC ID | 9931010600 |
|---|---|
| Medicare Enrollment ID | O20171220002714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649727447 | NPI | - | NPPES |
| 007607718 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
South Madison Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040a S. Madison St, Tupelo, MS 38801 Phone: 662-377-5290 Fax: 662-377-5291 |
Nmmc Ekg Interpretations Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2755 |
North Mississippi Neurosurgical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801 Phone: 662-377-5700 Fax: 662-377-5720 |
Pontotoc Health Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Varsity Dr, Tupelo, MS 38801 Phone: 662-377-2386 Fax: 662-377-2057 |
Grant Family Medical LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Varsity Dr, Tupelo, MS 38801 Phone: 484-252-6707 |
North Mississippi Medical Clinics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Varsity Dr, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2057 |