# OUTREACH HEALTH SERVICES,INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JASPER MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255521480
- **Authorized official:** TERRY D EVERETT (OFFICE MANAGER)
- **Authorized official phone:** (601) 787-3464

## Contact information

- **Practice address:** 309 PINE AVE, HEIDELBERG, MS 39439
- **Practice address phone:** (601) 787-3464
- **Practice address fax:** (601) 787-3400
- **Mailing address:** 309 PINE AVE, HEIDELBERG, MS 39439-3281
- **Mailing address phone:** (601) 787-3464
- **Mailing address fax:** (601) 787-3400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | R624705 | MS | Yes |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 11/02/2011