| Southern Farm Bureau Casualty Marathon Health Center | |
|
1800 E County Lane Rd Ridgeland MS 39157 | |
| (601) 957-7777 | |
| Not Available |
| Full Name | Southern Farm Bureau Casualty Marathon Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1800 E County Lane Rd, Ridgeland, Mississippi |
| Authorized Official Name and Position | Karla Spivey (IMPLEMENTATION AND ONBOARDING COORD) |
| Authorized Official Contact | 3178693164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Farm Bureau Casualty Marathon Health Center 10 W Market St Ste 2900 Indianapolis IN 46204-2964 Ph: (317) 869-3164 | Southern Farm Bureau Casualty Marathon Health Center 1800 E County Lane Rd Ridgeland MS 39157 Ph: (601) 957-7777 |
| NPI Number | 1689423964 |
|---|---|
| Provider Enumeration Date | 05/17/2024 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689423964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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