| Rush Medical Foundation | |
|
603 S Archusa Ave Quitman MS 39355-2331 | |
| (601) 776-2123 | |
| (601) 776-6006 |
| Full Name | Rush Medical Foundation |
|---|---|
| Speciality | Clinic/Center |
| Location | 603 S Archusa Ave, Quitman, 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 |
|---|---|
| Rush Medical Foundation Dept 3027, P O Box 1000 Memphis TN 38148-3027 Ph: (601) 213-3010 | Rush Medical Foundation 603 S Archusa Ave Quitman MS 39355-2331 Ph: (601) 776-2123 |
| NPI Number | 1164773438 |
|---|---|
| Provider Enumeration Date | 09/27/2012 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 2567368541 |
|---|---|
| Medicare Enrollment ID | O20130122000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164773438 | NPI | - | NPPES |
| 009016210 | Medicaid | MS |
Jones Family Medicine Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Main St, Quitman, MS 39355 Phone: 601-425-0092 Fax: 601-425-0473 |