| Laird Hospital, Inc | |
| 
					9097 Collinsville Rd Collinsville MS 39325-9779  | |
| (601) 626-8874 | |
| (601) 626-8592 | 
| Full Name | Laird Hospital, Inc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 9097 Collinsville Rd, Collinsville, Mississippi | 
| Authorized Official Name and Position | Don Larkin Kennedy (REGIONAL CEO) | 
| Authorized Official Contact | 6017039614 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Laird Hospital, Inc Dept. 3023, Po Box 1000 Memphis TN 38148-3023 Ph: (601) 213-3010  | Laird Hospital, Inc 9097 Collinsville Rd Collinsville MS 39325-9779 Ph: (601) 626-8874  | 
| NPI Number | 1073959375 | 
|---|---|
| Provider Enumeration Date | 05/14/2013 | 
| Last Update Date | 04/26/2023 | 
| Medicare PECOS PAC ID | 7214991769 | 
|---|---|
| Medicare Enrollment ID | O20130711000664 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073959375 | NPI | - | NPPES | 
| 007379233 | Medicaid | MS | 
Kid's Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9325c Highway 19 N, Collinsville, MS 39325 Phone: 601-427-2752 Fax: 601-427-2800  |