| Five Horizons Health Services - Starkville | |
|
900 Stark Rd Starkville MS 39759-3613 | |
| (205) 759-8470 | |
| Not Available |
| Full Name | Five Horizons Health Services - Starkville |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Stark Rd, Starkville, Mississippi |
| Authorized Official Name and Position | Michelle Hawthorne (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2052922428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Five Horizons Health Services - Starkville 2720 6th St Tuscaloosa AL 35401-1731 Ph: (205) 759-8470 | Five Horizons Health Services - Starkville 900 Stark Rd Starkville MS 39759-3613 Ph: (205) 759-8470 |
| NPI Number | 1831728799 |
|---|---|
| Provider Enumeration Date | 04/03/2020 |
| Last Update Date | 12/02/2022 |
| Medicare PECOS PAC ID | 7517212376 |
|---|---|
| Medicare Enrollment ID | O20210204002053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831728799 | NPI | - | NPPES |
| Provider Name | Monica Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528004249 PECOS PAC ID: 8921083205 Enrollment ID: I20040621001622 |
| Provider Name | Clifton Shane Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407205156 PECOS PAC ID: 2860777471 Enrollment ID: I20190809001604 |
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