| Brandywine Health Services Of Mississippi, Inc | |
|
311 E Cherry St Ackerman MS 39735-9795 | |
| (662) 285-6235 | |
| (662) 285-2516 |
| Full Name | Brandywine Health Services Of Mississippi, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 311 E Cherry St, Ackerman, 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 311 E Cherry St Ackerman MS 39735-9795 Ph: (662) 285-6235 |
| NPI Number | 1477541431 |
|---|---|
| Provider Enumeration Date | 10/12/2005 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477541431 | NPI | - | NPPES |
| 08479796 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Mississippi) | Primary |
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