Organization
EAST CENTRAL MISSISSIPPI HEALTH CARE INC
Active
Organization
EAST CENTRAL MISSISSIPPI HEALTH CARE INC
Active
Other names
Sebastopol Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL BISHOP (CEO)
(601) 625-7140
Entity
Organization
Contact information
Practice address
1488 HWY 487, SEBASTOPOL, MS 39359
(601) 625-7140
(601) 625-7199
Mailing address
PO BOX 142, SEBASTOPOL, MS 39359
(601) 625-7140
(601) 625-7199
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09010024
—
MS
01
—
DA1146
RAILROAD MEDICARE
—
Enumeration date
05/25/2006
Last updated
04/24/2025
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