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Organization

GREATER MERIDIAN HEALTH CLINIC, INC.

Active
Parent organization
GREATER MERIDIAN HEALTH CLINIC, INC
Other names
Winston County Family Medical Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
GREATER MERIDIAN HEALTH CLINIC, INC
Authorized official
WILBERT L. JONES (CEO)
(601) 693-0118
Entity
Organization

Contact information

Practice address
14130 HIGHWAY 15 S STE D, LOUISVILLE, MS 39339-6452
(662) 779-1175
(844) 778-8922
Mailing address
2701 DAVIS ST, MERIDIAN, MS 39301-5708
(601) 693-0118
(601) 965-0324

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009015060
MS
Enumeration date
09/20/2006
Last updated
05/03/2024
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