Organization
TISHOMINGO HEALTH SERVICES, INC.
Active
Other names
Burnsville Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE J TOPPIN (CHIEF LEGAL OFFICER)
(662) 377-4229
Entity
Organization
Contact information
Practice address
296 HIGHWAY 72, BURNSVILLE, MS 38833-9104
(662) 427-2073
(662) 427-2074
Mailing address
456 E PRESIDENT AVE, TUPELO, MS 38801-5515
(662) 377-4685
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
13-221
MS
Other
Enumeration date
04/26/2016
Last updated
07/14/2022
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