institution
Southern Health Corp. Of Houston, Inc
Rural Health Clinic/Center in Houston, Mississippi
NPI 1083721732

Southern Health Corp. Of Houston, Inc is a Rural Health Clinic/Center based in Houston, MS and is specialized in Rural Health. Southern Health Corp. Of Houston, Inc practices in Houston, MS. The NPI Number for Southern Health Corp. Of Houston, Inc is 1083721732 and holds a License No. 12-296 (Mississippi).

The current practice location address for Southern Health Corp. Of Houston, Inc is 1002 E Madison St Ste 2, Houston, MS and can be reached out via phone at 662-456-5008 and via fax at 662-456-5404.

Location: 1002 E Madison St Ste 2, Houston, MS, 38851-0432
institution
Provider Profile Details
NPI Number
1083721732
Provider Name
Southern Health Corp. Of Houston, Inc
Credential
Provider Entity Type
Organization
Address
1002 E Madison St Ste 2, Houston, MS, 38851-0432
Phone Number
662-456-5008
Fax Number
662-456-5404
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09014528 05 MS
C02044 01 MS MEDICARE PART B GROUP
253422 01 MS TRISPAN
institution
Provider Business Practice Location Address Details
Address
1002 E Madison St Ste 2
City
State
Zip
38851-2428
Phone Number
662-456-5008
Fax Number
662-456-5404
person
Provider Business Mailing Address Details
Address
1002 E Madison St Ste 2
City
State
Zip
38851-2428
Phone Number
662-456-5008
Fax Number
662-456-5404
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
12-296 (Mississippi)
Definition
Definition to come...
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