Organization
HL CAMPBELL RURAL HEALTH CLINIC
Active
Other names
HL Campbell Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANELLA CAMPBELL (CEO)
(662) 398-5004
Entity
Organization
Contact information
Practice address
901 FOREST STREET, SHELBY, MS 38774
(662) 398-5004
Mailing address
PO BOX 1507, CLARKSDALE, MS 38614-1507
(662) 398-5004
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09586879
—
MS
Enumeration date
02/18/2009
Last updated
02/18/2009
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