Organization
COVINGTON COUNTY HOSPITAL
Active
Other names
Covington County Hospital Mobile Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANISSA L EVANS (CREDENTIALING DIRECTOR)
(601) 698-0328
Entity
Organization
Contact information
Practice address
701 S HOLLY AVE, COLLINS, MS 39428-3894
(601) 765-6711
(601) 698-0112
Mailing address
701 S HOLLY AVE, COLLINS, MS 39428-3894
(601) 765-6711
(601) 698-0112
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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