Organization
GREATER MERIDIAN HEALTH CLINIC, INC.
Active
Parent organization
GREATER MERIDIAN HEALTH CLINIC, INC.
Other names
Oktibbeha Family Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER MERIDIAN HEALTH CLINIC, INC.
Authorized official
WILBERT L. JONES (CEO)
(601) 693-0118
Entity
Organization
Contact information
Practice address
511 ACADEMY RD, STARKVILLE, MS 39759-4021
(662) 323-2911
(844) 778-8922
Mailing address
2701 DAVIS ST, MERIDIAN, MS 39301-5708
(601) 693-0118
(601) 965-0324
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001389094
—
MS
Enumeration date
09/16/2006
Last updated
05/16/2023
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