| First Intermed Corporation | |
|
5606 Old Canton Rd Jackson MS 39211-4217 | |
| (601) 957-3333 | |
| (601) 957-3334 |
| Full Name | First Intermed Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 5606 Old Canton Rd, Jackson, Mississippi |
| Authorized Official Name and Position | Sam Scott (PHYSICIAN SERVICES COORDINATOR) |
| Authorized Official Contact | 6018987525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Intermed Corporation 5606 Old Canton Rd Jackson MS 39211-4217 Ph: (601) 957-3333 | First Intermed Corporation 5606 Old Canton Rd Jackson MS 39211-4217 Ph: (601) 957-3333 |
| NPI Number | 1669406658 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 03/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669406658 | NPI | - | NPPES |
| CH0373 | Other | MS | RAILROAD MEDICARE |
| CH9760 | Other | MS | RAILROAD MEDICARE |
| CH7890 | Other | MS | RAILROAD MEDICARE |
| CH7897 | Other | MS | RAILROAD MEDICARE |
| 09015301 | Medicaid | MS | |
| CH7894 | Other | MS | RAILROAD MEDICARE |
| CH7896 | Other | MS | RAILROAD MEDICARE |
| CH0704 | Other | MS | RAILROAD MEDICARE |
| CH7891 | Other | MS | RAILROAD MEDICARE |
| CH7892 | Other | MS | RAILROAD MEDICARE |
| CH7895 | Other | MS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Mississippi) | Primary |
Ben W. Seale, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 | |
Central Mississippi Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 Highway 80 W Ste 71, Jackson, MS 39209 Phone: 601-321-2400 | |
Hni Medical Services Of Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 | |
Medical Care Associates Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 Azalea Dr, Jackson, MS 39206 Phone: 601-366-9447 | |
The Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2561 Fax: 601-376-2570 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Old Canton Rd, Jackson, MS 39211 Phone: 601-957-3333 | |
Vanessa L. Sandifer, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Drive, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 |