| First Intermed Corporation | |
|
1132 Highway 49 S Richland MS 39218-9446 | |
| (601) 664-1620 | |
| (601) 664-1624 |
| Full Name | First Intermed Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1132 Highway 49 S, Richland, Mississippi |
| Authorized Official Name and Position | Tonya Jordan (PHYSICIAN SERVICES COORDINATOR) |
| Authorized Official Contact | 6018987535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Intermed Corporation 1132 Highway 49 S Richland MS 39218-9446 Ph: (601) 664-1620 | First Intermed Corporation 1132 Highway 49 S Richland MS 39218-9446 Ph: (601) 664-1620 |
| NPI Number | 1346274354 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 02/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346274354 | NPI | - | NPPES |
| 09015301 | Medicaid | MS | |
| CH7890 | Other | MS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Mississippi) | Primary |
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