| Brandywine Health Services Of Mississippi, Inc | |
|
547 Front St. Weir MS 39772 | |
| (662) 547-9697 | |
| (662) 547-9698 |
| Full Name | Brandywine Health Services Of Mississippi, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 547 Front St., Weir, Mississippi |
| Authorized Official Name and Position | Ray Shoemaker (ADMINISTRATOR) |
| Authorized Official Contact | 6622856235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandywine Health Services Of Mississippi, Inc Po Box 1039 Ackerman MS 39735-1039 Ph: (662) 285-6235 | Brandywine Health Services Of Mississippi, Inc 547 Front St. Weir MS 39772 Ph: (662) 547-9697 |
| NPI Number | 1982659405 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982659405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Choctaw County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 Main Street, Weir, MS 39772 Phone: 662-547-9407 | |
Pioneer Health Services Of Choctaw County, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 Main Street, Weir, MS 39772 Phone: 662-547-9407 Fax: 662-547-9408 |