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Greene Area Medical Extenders, Inc
Federally Qualified Health Center (FQHC) in State Line, Mississippi
NPI 1902031123

Greene Area Medical Extenders, Inc is a Federally Qualified Health Center (FQHC) based in Leakesville, MS and is specialized in Federally Qualified Health Center (FQHC). Greene Area Medical Extenders, Inc practices in State Line, MS. The NPI Number for Greene Area Medical Extenders, Inc is 1902031123 and holds a License No. (Mississippi).

The current practice location address for Greene Area Medical Extenders, Inc is 82 Church Street, State Line, MS and can be reached out via phone at 601-848-7650.

Location: 82 Church Street, State Line, MS, 39451-0160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902031123
Provider Name
Greene Area Medical Extenders, Inc
Credential
Provider Entity Type
Organization
Address
82 Church Street, State Line, MS, 39451-0160
Phone Number
601-848-7650
Fax Number
Provider Enumeration Date
05/18/2009
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
82 Church Street
City
State Line
State
Mississippi
Zip
39451
Phone Number
601-848-7650
Fax Number
person
Provider Business Mailing Address Details
Address
82 Church Street
City
State Line
State
Mississippi
Zip
39451
Phone Number
601-848-7650
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
(Mississippi)
Definition
Definition to come...
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