Organization
TRINA HEALTH OF BOONEVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA L CLEVELAND (BILLING OFFICER)
(662) 554-9252
Entity
Organization
Contact information
Practice address
202 N 1ST ST STE B, BOONEVILLE, MS 38829-2718
(662) 554-9252
Mailing address
PO BOX 367, BOONEVILLE, MS 38829-0367
(662) 554-9252
(662) 728-5185
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
MS
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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