| Steele Medical Clinic Llc | |
|
1757 Highway 178 W Ste A Myrtle MS 38650-9233 | |
| (662) 988-7041 | |
| (662) 988-7052 |
| Full Name | Steele Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1757 Highway 178 W Ste A, Myrtle, Mississippi |
| Authorized Official Name and Position | Robert Steele (OWNER) |
| Authorized Official Contact | 6624711805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steele Medical Clinic Llc 1757 Highway 178 W Ste A Myrtle MS 38650-9233 Ph: (662) 988-7041 | Steele Medical Clinic Llc 1757 Highway 178 W Ste A Myrtle MS 38650-9233 Ph: (662) 988-7041 |
| NPI Number | 1720726391 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 10/04/2022 |
| Medicare PECOS PAC ID | 7416323738 |
|---|---|
| Medicare Enrollment ID | O20221011002857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720726391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Paula Decanter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750351540 PECOS PAC ID: 9638143704 Enrollment ID: I20040824000759 |
Scott Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1557 Highway 30 W, Myrtle, MS 38650 Phone: 662-480-1997 Fax: 662-480-1999 |