| Gorton Rural Health Clinic | |
|
107 Church St Belzoni MS 39038-3929 | |
| (662) 247-2105 | |
| Not Available |
| Full Name | Gorton Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 Church St, Belzoni, Mississippi |
| Authorized Official Name and Position | Sidney Carlton Gorton (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6622472105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gorton Rural Health Clinic 107 Church St Belzoni MS 39038-3929 Ph: (662) 247-2105 | Gorton Rural Health Clinic 107 Church St Belzoni MS 39038-3929 Ph: (662) 247-2105 |
| NPI Number | 1699801654 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 05/19/2016 |
| Medicare PECOS PAC ID | 2668566274 |
|---|---|
| Medicare Enrollment ID | O20070913000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699801654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Mississippi) | Primary |
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