Organization
WEBSTER HEALTH SERVICES, INC.
Active
Other names
Kilmichael Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
301 LAMAR STREET, KILMICHAEL, MS 39747
(662) 262-5577
(662) 262-5580
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-3204
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
13225
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004629754
—
MS
01
—
25-8615
MEDICARE RURAL HEALTH
MS
01
—
C0081
MEDICARE NON RURAL
MS
Enumeration date
07/29/2015
Last updated
01/20/2025
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