| Univ Hospital Holmes County | |
|
239 Bowling Green Rd Lexington MS 39095-5167 | |
| (662) 834-1321 | |
| (662) 834-5141 |
| Full Name | Univ Hospital Holmes County |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 239 Bowling Green Rd, Lexington, Mississippi |
| Authorized Official Name and Position | Dewery Montgomery (INTERIM ADMINISTRATOR) |
| Authorized Official Contact | 6628341321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Univ Hospital Holmes County 239 Bowling Green Rd Lexington MS 39095-5167 Ph: (662) 834-1321 | Univ Hospital Holmes County 239 Bowling Green Rd Lexington MS 39095-5167 Ph: (662) 834-1321 |
| NPI Number | 1518149723 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 11/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518149723 | NPI | - | NPPES |
| 19838 | Other | MS | BLUE CROSS |
| 258513 | Other | MEDICARE | |
| 6300013 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 11-199-S-2 (Mississippi) | Primary |
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Mallory Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17280 Highway 17, Lexington, MS 39095 Phone: 662-834-1857 Fax: 662-834-1859 |