| Philadelphia Health Center | |
|
10330 Road 375 Philadelphia MS 39350-3249 | |
| (601) 656-0226 | |
| (601) 656-0226 |
| Full Name | Philadelphia Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 10330 Road 375, Philadelphia, Mississippi |
| Authorized Official Name and Position | Tammy L Mcphail (INS. DEPT./MIS) |
| Authorized Official Contact | 6016257140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Philadelphia Health Center Po Box 142 Sebastopol MS 39359 Ph: (601) 625-7140 | Philadelphia Health Center 10330 Road 375 Philadelphia MS 39350-3249 Ph: (601) 656-0226 |
| NPI Number | 1679529028 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 01/24/2011 |
| Medicare PECOS PAC ID | 0941103717 |
|---|---|
| Medicare Enrollment ID | O20101015000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679529028 | NPI | - | NPPES |
| C02184 | Medicaid | MS | |
| 09014178 | Medicaid | MS | |
| DA1146 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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