Organization
GREATER MERIDIAN HEALTH CLINIC, INC.
Active
Parent organization
GREATER MERIDIAN HEALTH CLINIC, INC.
Other names
Shuqualak-Noxubee Health Center
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
167 MILLERS CHAPEL CHURCH RD, MACON, MS 39341
(662) 793-4845
(844) 778-8922
Mailing address
2701 DAVIS ST, MERIDIAN, MS 39301-5708
(601) 693-0118
(601) 553-8175
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009014690
—
MS
05
—
09014690
—
MS
Enumeration date
09/20/2006
Last updated
05/03/2024
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