| Tunica County Healthcare Authority | |
|
1813 U. S. Highway 61 North Tunica MS 38676 | |
| (662) 357-0012 | |
| (662) 357-0021 |
| Full Name | Tunica County Healthcare Authority |
|---|---|
| Speciality | Clinic/Center |
| Location | 1813 U. S. Highway 61 North, Tunica, Mississippi |
| Authorized Official Name and Position | Barbara Conway (CLINIC OPERATIONS OFFICER) |
| Authorized Official Contact | 6623633224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tunica County Healthcare Authority Po Box 789 Tunica MS 38676-0789 Ph: (662) 363-1465 | Tunica County Healthcare Authority 1813 U. S. Highway 61 North Tunica MS 38676 Ph: (662) 357-0012 |
| NPI Number | 1245360148 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 06/18/2018 |
| Medicare PECOS PAC ID | 6608898499 |
|---|---|
| Medicare Enrollment ID | O20051221000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245360148 | NPI | - | NPPES |
| 09014044 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 09014044 (Mississippi) | Primary |
| Provider Name | Valerie V Frazier-griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063498707 PECOS PAC ID: 6204899917 Enrollment ID: I20041104000354 |
| Provider Name | Emily A Hoffmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477586345 PECOS PAC ID: 5294705067 Enrollment ID: I20050418001117 |
| Provider Name | Wilson M Parry |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124188347 PECOS PAC ID: 9638185101 Enrollment ID: I20060222000113 |
| Provider Name | Leon C Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336223734 PECOS PAC ID: 3577667401 Enrollment ID: I20090312000496 |
| Provider Name | Rachel E Litterer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740500214 PECOS PAC ID: 4587797329 Enrollment ID: I20100730000844 |
| Provider Name | Robynn Elizabeth Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043634744 PECOS PAC ID: 3870715519 Enrollment ID: I20141112001262 |
| Provider Name | Kristal Hillie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053720342 PECOS PAC ID: 7012218969 Enrollment ID: I20151217001507 |
| Provider Name | Sentorita Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295117091 PECOS PAC ID: 7517276884 Enrollment ID: I20160502002245 |
| Provider Name | Sheronda Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720599376 PECOS PAC ID: 0941556880 Enrollment ID: I20180706000503 |
| Provider Name | Regina Rodgers Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679076764 PECOS PAC ID: 2769726793 Enrollment ID: I20181203001655 |
| Provider Name | Shaletha S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659046399 PECOS PAC ID: 7315330883 Enrollment ID: I20220204000424 |
| Provider Name | Ericka Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780261867 PECOS PAC ID: 6901290667 Enrollment ID: I20220223002933 |
Tunica County Healthcare Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 Highway 61 N, Tunica, MS 38676 Phone: 662-357-0012 Fax: 662-357-0021 | |
Aaron E Henry Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1820 Peabody St, Tunica, MS 38676 Phone: 662-363-3656 Fax: 662-363-3789 | |
Tunica County Healthcare Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 Highway 61 N Ste A, Tunica, MS 38676 Phone: 662-357-0012 | |
Aaron E Henry Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 744 School St, Tunica, MS 38676 Phone: 662-363-3971 Fax: 662-363-3789 |