Organization
NORTHEAST MISSISSIPPI HEALTH CARE, INC
Active
Other names
DeSoto Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE MCKINNEY (EXECUTIVE DIRECTOR)
(662) 838-2163
Entity
Organization
Contact information
Practice address
7535 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5834
(662) 349-6220
Mailing address
PO BOX 698, BYHALIA, MS 38611-0698
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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