| Family Acute Care Clinic, Inc | |
|
123 Alcorn Dr Corinth MS 38834-9359 | |
| (662) 286-5112 | |
| (662) 286-6015 |
| Full Name | Family Acute Care Clinic, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 123 Alcorn Dr, Corinth, Mississippi |
| Authorized Official Name and Position | Paula H Stennett (PRESIDENT) |
| Authorized Official Contact | 6622865112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Acute Care Clinic, Inc 123 Alcorn Dr Corinth MS 38834-9359 Ph: (662) 286-5112 | Family Acute Care Clinic, Inc 123 Alcorn Dr Corinth MS 38834-9359 Ph: (662) 286-5112 |
| NPI Number | 1952518300 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952518300 | NPI | - | NPPES |
| 00120901 | Medicaid | MS | |
| 1487701694 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | R124170 (Mississippi) | Primary |
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