| Lexington Primary Care | |
|
110 Tchula Street Lexington Primary Care Lexington MS 39095 | |
| (662) 834-1855 | |
| (662) 834-4953 |
| Full Name | Lexington Primary Care |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 110 Tchula Street, Lexington, Mississippi |
| Authorized Official Name and Position | Pauline Hathcock (NURSE PRACTITIONER) |
| Authorized Official Contact | 6628341855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Primary Care Po Box 249 Lexington MS 39095-0249 Ph: (662) 834-1855 | Lexington Primary Care 110 Tchula Street Lexington Primary Care Lexington MS 39095 Ph: (662) 834-1855 |
| NPI Number | 1972617876 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972617876 | NPI | - | NPPES |
| 0115646 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | R851692 (Mississippi) | Primary |
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Mallory Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12572 Highway 12, Lexington, MS 39095 Phone: 662-235-5226 | |
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