| North Mississippi Primary Health Care, Inc. | |
|
16025 Boundary Drive Ashland MS 38603 | |
| (662) 502-3137 | |
| (662) 224-6801 |
| Full Name | North Mississippi Primary Health Care, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 16025 Boundary Drive, Ashland, Mississippi |
| Authorized Official Name and Position | Tammy G Chapman (CFO) |
| Authorized Official Contact | 6622248951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Mississippi Primary Health Care, Inc. Po Box 92 Ashland MS 38603-0092 Ph: (662) 502-3137 | North Mississippi Primary Health Care, Inc. 16025 Boundary Drive Ashland MS 38603 Ph: (662) 502-3137 |
| NPI Number | 1376009407 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 02/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376009407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
North Mississippi Primary Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15931 Boundary Drive, Ashland, MS 38603 Phone: 662-502-3149 | |
North Mississippi Primary Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15921 Boundary Dr, Ashland, MS 38603 Phone: 662-224-8951 Fax: 662-224-6801 |