| Vital Med Llc | |
|
103 Ridgemont Villa Booneville MS 38829-1010 | |
| (662) 368-3858 | |
| (662) 368-3931 |
| Full Name | Vital Med Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 103 Ridgemont Villa, Booneville, Mississippi |
| Authorized Official Name and Position | Desiree Brooke Haugh (OWNER/NP) |
| Authorized Official Contact | 6623683858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Med Llc 103 Ridgemont Villa Booneville MS 38829-1010 Ph: (662) 368-3858 | Vital Med Llc 103 Ridgemont Villa Booneville MS 38829-1010 Ph: (662) 368-3858 |
| NPI Number | 1710517347 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 01/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710517347 | NPI | - | NPPES |
| 02056754 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Faith Family Clinic Of Booneville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2209 N 2nd St, Booneville, MS 38829 Phone: 662-728-0162 Fax: 662-728-0326 | |
North Mississippi Primary Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 N 1st St, Booneville, MS 38829 Phone: 662-728-3313 Fax: 662-728-5623 | |
Booneville Chiropractic Clinic, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105b N 2nd St, Booneville, MS 38829 Phone: 662-728-7414 Fax: 662-728-4163 | |
Trina Health Of Booneville, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N 1st St Ste B, Booneville, MS 38829 Phone: 662-554-9252 | |
Hancock Internal Medicine Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 N 1st St, Booneville, MS 38829 Phone: 662-340-1138 | |
Northeast Mississippi Inpatient Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N 1st St, Booneville, MS 38829 Phone: 662-340-1138 Fax: 662-728-5185 | |
Northeast Ms Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 N 1st St, Suite A, Booneville, MS 38829 Phone: 662-340-1138 Fax: 662-728-5185 |