Organization
RURAL HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ALLEN GARY M.D. (SOLE OWNER)
(662) 844-3232
Entity
Organization
Contact information
Practice address
2566 MAIN ST, PLANTERSVILLE, MS 38862-7908
(662) 844-3232
(662) 844-3291
Mailing address
2566 MAIN ST, P.O. BOX 128, PLANTERSVILLE, MS 38862-7908
(662) 844-3232
(662) 844-3291
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
05113
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25D0685868
CLIA
MS
Enumeration date
07/10/2008
Last updated
07/10/2008
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