| South Central Clinics, Inc. | |
|
1203 Ave B Suite 200 Ellisville MS 39437 | |
| (601) 477-3550 | |
| (601) 477-2236 |
| Full Name | South Central Clinics, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1203 Ave B, Ellisville, Mississippi |
| Authorized Official Name and Position | Monica Morrow (DIRECTOR CLINIC SUPPORT) |
| Authorized Official Contact | 6013996167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Clinics, Inc. Po Box 247 Laurel MS 39441-0247 Ph: (601) 425-7550 | South Central Clinics, Inc. 1203 Ave B Suite 200 Ellisville MS 39437 Ph: (601) 477-3550 |
| NPI Number | 1427098003 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 07/25/2018 |
| Medicare PECOS PAC ID | 4385876655 |
|---|---|
| Medicare Enrollment ID | O20180126000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427098003 | NPI | - | NPPES |
| 09014135 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 253437 (Mississippi) | Primary |
Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-425-3033 Fax: 601-428-6561 | |
Hattiesburg Clinic Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 822 Main St, Ellisville, MS 39437 Phone: 601-477-2014 Fax: 601-477-9942 | |
Ellisville State School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Hwy 11 S, Ellisville, MS 39437 Phone: 601-477-9384 Fax: 601-477-5700 | |
Fast Pace Mississippi, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Hill St, Ellisville, MS 39437 Phone: 601-800-0118 | |
South Central Clinics, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1203 Avenue B, Ellisville, MS 39437 Phone: 601-477-8553 Fax: 601-477-9158 | |
Shaffer Eye Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5203 Highway 11 N, Ellisville, MS 39437 Phone: 601-428-4420 Fax: 601-425-9018 |