| King's Daughters Medical Center | |
|
509 Brookman Dr. Brookhaven MS 39601-2326 | |
| (601) 823-5204 | |
| Not Available |
| Full Name | King's Daughters Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 509 Brookman Dr., Brookhaven, Mississippi |
| Authorized Official Name and Position | Scott Christensen (CEO) |
| Authorized Official Contact | 6018359488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| King's Daughters Medical Center 427 Highway 51 N Brookhaven MS 39601-2350 Ph: (601) 835-9275 | King's Daughters Medical Center 509 Brookman Dr. Brookhaven MS 39601-2326 Ph: (601) 823-5204 |
| NPI Number | 1275307902 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/13/2023 |
| Medicare PECOS PAC ID | 3072575539 |
|---|---|
| Medicare Enrollment ID | O20240108005144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275307902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
King's Daughters Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 940 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-823-5000 | |
King's Daughters Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-833-7973 | |
Joseph S Moak Jr Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Biglane Drive, Brookhaven, MS 39601 Phone: 601-833-5051 Fax: 601-835-0240 | |
Doctors Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 N Jackson St, Suite A, Brookhaven, MS 39601 Phone: 601-833-9912 | |
Extended Care Clinical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 545 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-833-5255 Fax: 601-843-0252 | |
Alexander Jr. High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Alexander Jr High School, 713 Beauregard St., Brookhaven, MS 39601 Phone: 601-833-7549 Fax: 601-835-5467 |