| Purity Health,llc | |
|
134 Marion Ave Mccomb MS 39648-3620 | |
| (601) 684-2683 | |
| Not Available |
| Full Name | Purity Health,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 134 Marion Ave, Mccomb, Mississippi |
| Authorized Official Name and Position | Samuel Edward Gamble (MANAGER) |
| Authorized Official Contact | 6019559766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Purity Health,llc Po Box 3533 Jackson MS 39207-3533 Ph: (601) 955-9766 | Purity Health,llc 134 Marion Ave Mccomb MS 39648-3620 Ph: (601) 684-2683 |
| NPI Number | 1457958043 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 10/06/2020 |
| Medicare PECOS PAC ID | 4082024096 |
|---|---|
| Medicare Enrollment ID | O20201103001385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457958043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Samuel E Gamble |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588716625 PECOS PAC ID: 0547392284 Enrollment ID: I20100716000088 |
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