Organization
CRAWFORD MOBILE HEALTH CLINIC
Active
Parent organization
CRAWFORD HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRAWFORD HEALTH CLINIC
Authorized official
FELICIA DELORIS EDWARDS NP (MANAING PARTNER)
(662) 435-7800
Entity
Organization
Contact information
Practice address
15865 HIGHWAY 14 WEST, MACON, MS 39341-0402
(662) 435-7800
Mailing address
PO BOX 95, CRAWFORD, MS 39743-0095
(662) 435-7800
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
R740067
MS
261QR1300X
Rural Health Clinic/Center
Primary
R740067
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316040264
NPI
MS
Enumeration date
03/22/2012
Last updated
03/22/2012
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