Organization
TUNICA COUNTY HEALTHCARE AUTHORITY
Active
Other names
Tunica Resorts Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA CONWAY (CLINIC OPERATIONS OFFICER)
(662) 363-3224
Entity
Organization
Contact information
Practice address
11273 U S HIGHWAY 61 NORTH, TUNICA RESORTS, MS 38664
(662) 363-3224
(662) 363-3234
Mailing address
PO BOX 789, TUNICA, MS 38676-0789
(662) 363-1465
(662) 363-3215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
09015211
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015211
—
MS
Enumeration date
10/05/2006
Last updated
06/18/2018
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