| Gtr Family Health Center | |
|
1237 Highway 182 E Starkville MS 39759-9529 | |
| (662) 320-7001 | |
| (662) 320-4830 |
| Full Name | Gtr Family Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1237 Highway 182 E, Starkville, Mississippi |
| Authorized Official Name and Position | Thelma Jean Mcclenton (OWNER) |
| Authorized Official Contact | 6623207001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gtr Family Health Center 1237 Highway 182 E Starkville MS 39759-9529 Ph: (662) 320-7001 | Gtr Family Health Center 1237 Highway 182 E Starkville MS 39759-9529 Ph: (662) 320-7001 |
| NPI Number | 1710065222 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710065222 | NPI | - | NPPES |
| 00507061 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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