| Greater Meridian Health Clinic, Inc. | |
|
201 Birch St De Kalb MS 39328-8017 | |
| (601) 743-2642 | |
| (844) 778-8922 |
| Full Name | Greater Meridian Health Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 Birch St, De Kalb, Mississippi |
| Authorized Official Name and Position | Wilbert L. Jones (CEO) |
| Authorized Official Contact | 6016930118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Meridian Health Clinic, Inc. 2701 Davis St Meridian MS 39301-5708 Ph: (601) 693-0118 | Greater Meridian Health Clinic, Inc. 201 Birch St De Kalb MS 39328-8017 Ph: (601) 743-2642 |
| NPI Number | 1982701223 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 05/03/2024 |
| Medicare PECOS PAC ID | 9032027834 |
|---|---|
| Medicare Enrollment ID | O20101202001258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982701223 | NPI | - | NPPES |
| 009014691 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Kemper Cah, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30 Ponderosa Ave, De Kalb, MS 39328 Phone: 601-743-4626 Fax: 601-743-2133 |