Organization
CLAY COUNTY MEDICAL CORPORATION
Active
Other names
West Point Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH REPPERT (EXECUTIVE VP)
(662) 377-3000
Entity
Organization
Contact information
Practice address
328 HIGH ST, WEST POINT, MS 39773-2815
(662) 854-0694
(662) 854-0915
Mailing address
328 HIGH ST, WEST POINT, MS 39773-2815
(662) 854-0694
(662) 854-0915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182782
ALABAMA MEDICAID
AL
Enumeration date
04/25/2016
Last updated
04/25/2016
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