Organization
PONTOTOC HEALTH SERVICES, INC.
Active
Other names
New Albany Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
400 DOCTORS DR, NEW ALBANY, MS 38652-3109
(662) 534-5036
Mailing address
400 DOCTORS DR, NEW ALBANY, MS 38652-3109
(662) 534-5682
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
16091
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25-8603
RURAL MEDICARE
MS
01
—
419273
MEDICARE
MS
Enumeration date
09/05/2014
Last updated
01/20/2025
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