institution
Greene County Family Medical Clinic
Rural Health Clinic/Center in Leakesville, Mississippi
NPI 1689821126

Greene County Family Medical Clinic is a Rural Health Clinic/Center based in Lucedale, MS and is specialized in Rural Health. Greene County Family Medical Clinic practices in Leakesville, MS. The NPI Number for Greene County Family Medical Clinic is 1689821126 and holds a License No. 11343 (Mississippi).

The current practice location address for Greene County Family Medical Clinic is 1017 Jackson Ave, Leakesville, MS and can be reached out via phone at 601-394-2820 and via fax at 601-394-2827. You can also correspond with Greene County Family Medical Clinic through the mailing address at PO BOX 1007, LUCEDALE, MS - 39452-1007 (mailing address contact number: 601-947-1332).

Location: 1017 Jackson Ave, Leakesville, MS, 39452-1007
institution
Provider Profile Details
NPI Number
1689821126
Provider Name
Greene County Family Medical Clinic
Credential
Provider Entity Type
Organization
Address
1017 Jackson Ave, Leakesville, MS, 39452-1007
Phone Number
601-394-2820
Fax Number
601-394-2827
Provider Enumeration Date
08/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00118573 05 MS
258544 01 MS MEDICARE TRSIPAN
institution
Provider Business Practice Location Address Details
Address
1017 Jackson Ave
City
State
Zip
39451-9105
Phone Number
601-394-2820
Fax Number
601-394-2827
person
Provider Business Mailing Address Details
Address
1017 Jackson Ave
City
State
Zip
39451-9105
Phone Number
601-394-2820
Fax Number
601-394-2827
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
11343 (Mississippi)
Definition
Definition to come...
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