| Thompson Medical Service, Llc | |
|
1200 Hwy 15 North Blue Mountain MS 38610 | |
| (662) 316-0414 | |
| Not Available |
| Full Name | Thompson Medical Service, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1200 Hwy 15 North, Blue Mountain, Mississippi |
| Authorized Official Name and Position | Rebecca Thompson (OWNER) |
| Authorized Official Contact | 6623160414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thompson Medical Service, Llc Po Box 1036 New Albany MS 38652-1036 Ph: (662) 316-0414 | Thompson Medical Service, Llc 1200 Hwy 15 North Blue Mountain MS 38610 Ph: (662) 316-0414 |
| NPI Number | 1770050908 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 02/20/2019 |
| Medicare PECOS PAC ID | 7012256365 |
|---|---|
| Medicare Enrollment ID | O20190304001324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770050908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Timothy Frank Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376518308 PECOS PAC ID: 3870645963 Enrollment ID: I20090721000503 |
| Provider Name | Rebecca C Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598045833 PECOS PAC ID: 4587835194 Enrollment ID: I20120703000588 |
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