| Fmch Gloster Clinic | |
|
434 N Captain Gloster Dr Gloster MS 39638-3401 | |
| (601) 224-4711 | |
| Not Available |
| Full Name | Fmch Gloster Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 434 N Captain Gloster Dr, Gloster, Mississippi |
| Authorized Official Name and Position | Jeremy Chad Netterville (CEO) |
| Authorized Official Contact | 6016455221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmch Gloster Clinic 270 W Main Street Centreville MS 39631 Ph: (601) 645-5221 | Fmch Gloster Clinic 434 N Captain Gloster Dr Gloster MS 39638-3401 Ph: (601) 224-4711 |
| NPI Number | 1003148859 |
|---|---|
| Provider Enumeration Date | 02/04/2010 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003148859 | NPI | - | NPPES |
| 1445096 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Fmch Gloster Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 434 N Captain Gloster Dr, Gloster, MS 39638 Phone: 601-225-4711 | |
Rkm Primary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6002 Hancock Rd, Gloster, MS 39638 Phone: 601-225-7206 | |
Gloster Dental Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 253 East Main Street, Gloster, MS 39638 Phone: 601-225-4119 Fax: 601-225-4620 |