Organization
WOMEN & PEDIATRIC CLINIC
Active
Organization
WOMEN & PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE PORTER (ACCOUNTS RECEIVABLE COORDINATOR)
(662) 741-2151
Entity
Organization
Contact information
Practice address
1217 E RAILROAD AVE, GREENVILLE, MS 38703-3256
(662) 335-3991
(662) 332-1736
Mailing address
1414 HOSPITAL ST, GREENVILLE, MS 38703-3217
(662) 335-3991
(662) 332-1736
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05438355
—
MS
Enumeration date
08/08/2007
Last updated
08/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up