| Highland Community Clinic Network | |
|
1702 Highway 11 N Picayune MS 39466-2016 | |
| (601) 798-4711 | |
| Not Available |
| Full Name | Highland Community Clinic Network |
|---|---|
| Speciality | Family Medicine |
| Location | 1702 Highway 11 N, Picayune, Mississippi |
| Authorized Official Name and Position | Bryan Stevens (CFO) |
| Authorized Official Contact | 6017493119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Community Clinic Network 801 Goodyear Blvd Picayune MS 39466-3221 Ph: (888) 447-2450 | Highland Community Clinic Network 1702 Highway 11 N Picayune MS 39466-2016 Ph: (601) 798-4711 |
| NPI Number | 1942449368 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 02/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942449368 | NPI | - | NPPES |
| DP4385 | Other | MS | RAILROAD MCARE |
| 07620530 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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