Organization
MEDSERVE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD L FULCHER MD, CMD (PHYSICIAN, OWNER)
(601) 206-0901
Entity
Organization
Contact information
Practice address
MANHATTAN NURSING AND REHABILITATION CENTER, 4540 MANHATTAN RD, JACKSON, MS 39206
(601) 206-0901
(888) 240-6288
Mailing address
200 AMITY LN, BRANDON, MS 39047
(601) 206-0901
(888) 240-6288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12503
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05675311
—
MS
Enumeration date
04/19/2011
Last updated
01/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us