| Vancleave Medical Center | |
|
11700 Highway 57 Vancleave MS 39565-8309 | |
| (228) 826-1482 | |
| Not Available |
| Full Name | Vancleave Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 11700 Highway 57, Vancleave, Mississippi |
| Authorized Official Name and Position | Lee Bond (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2284977591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vancleave Medical Center 2101 Highway 90 Gautier MS 39553-5340 Ph: (228) 497-8874 | Vancleave Medical Center 11700 Highway 57 Vancleave MS 39565-8309 Ph: (228) 826-1482 |
| NPI Number | 1255728838 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 04/21/2015 |
| Medicare PECOS PAC ID | 3870405194 |
|---|---|
| Medicare Enrollment ID | O20150619001991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255728838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Coastal Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10828 Highway 57, Vancleave, MS 39565 Phone: 228-826-4711 Fax: 228-826-5929 | |
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