Organization
PONTOTOC HEALTH SERVICES, INC.
Active
Other names
Chickasaw Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A REPPERT (CFO)
(662) 377-3978
Entity
Organization
Contact information
Practice address
208 COUNTRY CLUB RD, HOUSTON, MS 38851-9326
(662) 456-3437
Mailing address
176 S MAIN ST, PONTOTOC, MS 38863-3311
(662) 489-5510
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
16091
MS
Other
Enumeration date
07/18/2014
Last updated
09/03/2014
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