Organization
RUSH MEDICAL FOUNDATION
Active
Other names
Ochsner Urgent Care-Meridian
Organization subpart
No
Provider details
NPI number
Authorized official
DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
905C S FRONTAGE RD, MERIDIAN, MS 39301-6113
(601) 482-4955
(601) 482-4957
Mailing address
DEPT 3027 P O BOX 1000, MEMPHIS, TN 38148-3027
(601) 213-3010
(601) 213-3011
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009014894
—
MS
Enumeration date
12/18/2012
Last updated
10/04/2024
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