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Organization
CAMDEN COMMUNITY FAMILY HEALTH CLINIC, INC.
Active
Organization
CAMDEN COMMUNITY FAMILY HEALTH CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA P. CHAMBERS FNP-BC (FAMILY NURSE PRACTITIONER/PRESIDENT)
(601) 859-2999
Entity
Organization
Contact information
Practice address
1493 HIGHWAY 17, CAMDEN, MS 39045-9524
(601) 859-2999
(601) 859-2999
Mailing address
PO BOX 29, SHARON, MS 39163-0029
(601) 859-2999
(601) 859-2999
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
R860655
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03581557
—
MS
01
—
11890942
CAQH
—
01
—
500002278
MEDICARE
—
01
—
Q74410
UPIN
—
Enumeration date
07/17/2012
Last updated
07/17/2012
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