Organization
HICKORY FLAT CLINIC ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE MORRISSON CFNP (CLINIC DIRECTOR)
(662) 333-6387
Entity
Organization
Contact information
Practice address
250 OAK ST, HICKORY FLAT, MS 38633-8122
(662) 333-6387
(662) 333-6725
Mailing address
PO BOX 128, HICKORY FLAT, MS 38633-0128
(662) 333-6387
(662) 333-6725
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014193
—
MS
Enumeration date
06/09/2005
Last updated
08/22/2020
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