| Thames Elementary School | |
|
2900 Jamestown Rd Hattiesburg MS 39402-2408 | |
| (601) 545-8700 | |
| (601) 582-5461 |
| Full Name | Thames Elementary School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2900 Jamestown Rd, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Kaye Ray (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6015458700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thames Elementary School Po Box 1729 Hattiesburg MS 39403-1729 Ph: (601) 545-8700 | Thames Elementary School 2900 Jamestown Rd Hattiesburg MS 39402-2408 Ph: (601) 545-8700 |
| NPI Number | 1013967603 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013967603 | NPI | - | NPPES |
| 02286897 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
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