| Regional Medical Clinic, Llc. | |
|
4297 Highway 42 Bassfield MS 39421-4424 | |
| (601) 943-5060 | |
| (601) 943-5888 |
| Full Name | Regional Medical Clinic, Llc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4297 Highway 42, Bassfield, Mississippi |
| Authorized Official Name and Position | Roy Dudley Evans (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6019435060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Medical Clinic, Llc. Po Box 68 Bassfield MS 39421-0068 Ph: (601) 943-5060 | Regional Medical Clinic, Llc. 4297 Highway 42 Bassfield MS 39421-4424 Ph: (601) 943-5060 |
| NPI Number | 1932436813 |
|---|---|
| Provider Enumeration Date | 11/12/2009 |
| Last Update Date | 11/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932436813 | NPI | - | NPPES |
| 00111136 | Medicaid | MS | |
| 1952465619 | Other | PHYSICIAN NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 13317 (Mississippi) | Primary |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 381 Old Williamsburg Road, Bassfield, MS 39421 Phone: 601-825-7280 Fax: 601-825-8130 |