Organization
PONTOTOC HEALTH SERVICES, INC.
Active
Other names
Oxford 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
2161 SOUTH LAMAR BOULEVARD, OXFORD, MS 38655
(662) 234-1791
Mailing address
176 S MAIN ST, PONTOTOC, MS 38863-3311
(662) 488-7670
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
16091
MS
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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