| Tunica County Healthcare Authority | |
|
11273 U S Highway 61 North Tunica Resorts MS 38664 | |
| (662) 363-3224 | |
| (662) 363-3234 |
| Full Name | Tunica County Healthcare Authority |
|---|---|
| Speciality | Clinic/Center |
| Location | 11273 U S Highway 61 North, Tunica Resorts, 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 11273 U S Highway 61 North Tunica Resorts MS 38664 Ph: (662) 363-3224 |
| NPI Number | 1629164512 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 06/18/2018 |
| Medicare PECOS PAC ID | 6608898499 |
|---|---|
| Medicare Enrollment ID | O20170816001732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629164512 | NPI | - | NPPES |
| 09015211 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 09015211 (Mississippi) | Primary |