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Organization
OUTREACH HEALTH SERVICES,INC.
Active
Organization
OUTREACH HEALTH SERVICES,INC.
Active
Other names
JASPER MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY D EVERETT (OFFICE MANAGER)
(601) 787-3464
Entity
Organization
Contact information
Practice address
309 PINE AVE, HEIDELBERG, MS 39439
(601) 787-3464
(601) 787-3400
Mailing address
309 PINE AVE, HEIDELBERG, MS 39439-3281
(601) 787-3464
(601) 787-3400
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
R624705
MS
Other
Enumeration date
07/25/2007
Last updated
11/02/2011
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