| Forest Family Practice | |
|
1 Medical Ln Ste B Forest MS 39074-4039 | |
| (601) 469-4861 | |
| Not Available |
| Full Name | Forest Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Medical Ln Ste B, Forest, Mississippi |
| Authorized Official Name and Position | John P Lee (COB) |
| Authorized Official Contact | 6014694861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Family Practice 100 Pioneer Way Magee MS 39111-5501 Ph: (601) 849-6440 | Forest Family Practice 1 Medical Ln Ste B Forest MS 39074-4039 Ph: (601) 469-4861 |
| NPI Number | 1649761685 |
|---|---|
| Provider Enumeration Date | 05/25/2018 |
| Last Update Date | 05/26/2020 |
| Medicare PECOS PAC ID | 0840197232 |
|---|---|
| Medicare Enrollment ID | O20190103002033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649761685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Checkups Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1309 Highway 35 S, Forest, MS 39074 Phone: 601-469-9999 | |
Lackey Pediatric Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 Highway 35 S, Suite 1, Forest, MS 39074 Phone: 601-849-6440 Fax: 601-849-1318 | |
505 Women's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Airport Rd Ste D, Forest, MS 39074 Phone: 601-333-0986 Fax: 601-333-0987 | |
Forest Family Practice Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Ln, Forest, MS 39074 Phone: 601-469-4861 Fax: 601-469-4828 | |
Total Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Deerfield Dr, Suite C, Forest, MS 39074 Phone: 601-469-0291 Fax: 601-469-0347 | |
Independent Healthcare Management, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 Airport Rd, Forest, MS 39074 Phone: 601-469-4151 Fax: 601-469-3681 | |
Community Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 Airport Rd Ste B, Forest, MS 39074 Phone: 601-469-4771 Fax: 601-469-4724 |