| Collins High School | |
|
1208 Dogwood Ave Collins MS 39428-4160 | |
| (601) 545-8700 | |
| (601) 450-2493 |
| Full Name | Collins High School |
|---|---|
| Speciality | Clinic/Center |
| Location | 1208 Dogwood Ave, Collins, Mississippi |
| Authorized Official Name and Position | Kaye Ray (CEO) |
| Authorized Official Contact | 6015458700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collins High School Po Box 1729 Hattiesburg MS 39403-1729 Ph: (601) 545-8700 | Collins High School 1208 Dogwood Ave Collins MS 39428-4160 Ph: (601) 545-8700 |
| NPI Number | 1942751938 |
|---|---|
| Provider Enumeration Date | 10/14/2016 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 2466342605 |
|---|---|
| Medicare Enrollment ID | O20170501000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942751938 | NPI | - | NPPES |
| 04135804 | Medicaid | MS | |
| 251046 | Other | MS | MS MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Care Express Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3275 Hwy 49, Suite E, Collins, MS 39428 Phone: 601-765-6711 Fax: 601-765-2808 | |
Carver Middle School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Carver Drive, Collins, MS 39428 Phone: 601-545-8700 Fax: 601-450-2493 | |
Covington County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 S Holly Ave, Collins, MS 39428 Phone: 601-765-6711 Fax: 601-698-0112 | |
Covington County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 S Fir Ave, Collins, MS 39428 Phone: 601-419-7468 | |
Collins Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Fifth Street, Collins, MS 39428 Phone: 601-765-4414 Fax: 601-765-9141 | |
Covington County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Highway 35, Collins, MS 39428 Phone: 601-837-7380 | |
Hopewell Elementary School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Hopewell Rd, Collins, MS 39428 Phone: 601-545-8700 Fax: 601-450-2493 |