Organization
PONTOTOC HEALTH SERVICES, INC.
Active
Other names
Children's Clinic-Ecru
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-3000
Entity
Organization
Contact information
Practice address
202 MAIN ST, ECRU, MS 38841-9604
(662) 489-4345
Mailing address
202 MAIN ST, ECRU, MS 38841-9604
(662) 489-4345
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
16091
MS
Other
Enumeration date
07/21/2014
Last updated
07/31/2024
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