| Brandywine Health Services Of Mississippi, Inc | |
|
24224 Ms Highway 15 Mathiston MS 39752-6876 | |
| (662) 263-5700 | |
| (662) 263-5785 |
| Full Name | Brandywine Health Services Of Mississippi, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 24224 Ms Highway 15, Mathiston, Mississippi |
| Authorized Official Name and Position | Ray Shoemaker (CEO) |
| Authorized Official Contact | 6622856235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandywine Health Services Of Mississippi, Inc Po Box 1039 Ackerman MS 39735-1039 Ph: (662) 285-6235 | Brandywine Health Services Of Mississippi, Inc 24224 Ms Highway 15 Mathiston MS 39752-6876 Ph: (662) 263-5700 |
| NPI Number | 1598928939 |
|---|---|
| Provider Enumeration Date | 07/07/2008 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598928939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |