| Jackson Rural Health Clinic P A | |
|
29 S Fourth St Rolling Fork MS 39159-5146 | |
| (662) 873-4361 | |
| (662) 873-2921 |
| Full Name | Jackson Rural Health Clinic P A |
|---|---|
| Speciality | Family Medicine |
| Location | 29 S Fourth St, Rolling Fork, Mississippi |
| Authorized Official Name and Position | Danny Jackson (OWNER) |
| Authorized Official Contact | 6628734361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Rural Health Clinic P A Po Box 520 Rolling Fork MS 39159-0520 Ph: (662) 873-4361 | Jackson Rural Health Clinic P A 29 S Fourth St Rolling Fork MS 39159-5146 Ph: (662) 873-4361 |
| NPI Number | 1316975287 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 12/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316975287 | NPI | - | NPPES |
| 09014136 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 253949 (Mississippi) | Primary |
Sharkey Issaquena Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 283 W Race St, Rolling Fork, MS 39159 Phone: 662-873-4395 | |
Rolling Fork Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 S Fourth St, Rolling Fork, MS 39159 Phone: 662-335-4105 Fax: 662-378-2879 | |
Andrew George Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-873-0742 | |
Delta Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20400 Highway 61, Rolling Fork, MS 39159 Phone: 662-741-2151 Fax: 662-741-2700 | |
South Delta Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-873-0742 | |
Andrew George Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-873-0742 |