| Rankin Primary Care Clinic, Pa | |
|
103 Service Dr Brandon MS 39042-2401 | |
| (601) 824-1491 | |
| (601) 825-9504 |
| Full Name | Rankin Primary Care Clinic, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 103 Service Dr, Brandon, Mississippi |
| Authorized Official Name and Position | Thomas L Ellingson (OWNER) |
| Authorized Official Contact | 6018241491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rankin Primary Care Clinic, Pa Po Box 1959 Brandon MS 39043-1959 Ph: (601) 824-1491 | Rankin Primary Care Clinic, Pa 103 Service Dr Brandon MS 39042-2401 Ph: (601) 824-1491 |
| NPI Number | 1467625665 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467625665 | NPI | - | NPPES |
| 09015199 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 16492 (Mississippi) | Primary |
Ken R. Morris M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 Crossgates Blvd, Suite 1300, Brandon, MS 39042 Phone: 601-825-6181 Fax: 601-825-2228 | |
Crossgates Family Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 Crossgates Blvd, Ste 102, Brandon, MS 39042 Phone: 601-825-0003 | |
Baptist Medical Clinic-brandon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490 W Government St, Suite 10, Brandon, MS 39042 Phone: 601-825-1936 Fax: 601-825-1937 | |
Baptist Medical Clinic-reservoir Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1887 Spillway Rd., Brandon, MS 39047 Phone: 601-992-5532 Fax: 601-992-5547 | |
J. Brad Madden, Md Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Burnham Rd, Suite B, Brandon, MS 39042 Phone: 601-933-1676 Fax: 601-933-9781 | |
4 The Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1127 Old Fannin Rd, C, Brandon, MS 39047 Phone: 601-214-4420 | |
Family Health Care Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1551 W Government St, Brandon, MS 39042 Phone: 601-825-3163 Fax: 601-825-7893 |