Organization
COVINGTON COUNTY HOSPITAL
Active
Other names
Medical Center of Magee, Thomas R. Blackledge, Jr. MD PA Medical Center of Magee
Organization subpart
No
Provider details
NPI number
Authorized official
ANISSA L EVANS (MEDICAL STAFF COORDINATOR)
(601) 765-3180
Entity
Organization
Contact information
Practice address
800 3RD ST SW, MAGEE, MS 39111-3951
(601) 849-1918
(601) 849-1908
Mailing address
701 S HOLLY AVE, COLLINS, MS 39428-3894
(601) 849-1918
(601) 849-1908
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
06/16/2018
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