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Kilmichael Clinic

Kilmichael Clinic is a health care provider in Kilmichael, MS. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 303 Lamar Avenue, Kilmichael, MS 39747, US
Practice Location Phone662-262-4284
Practice Location Fax
Legal Business NameKILMICHAEL CLINIC
Other Organization NameKILMICHAEL HOSPITAL KILMICHAEL CLINIC
Other Organization Name TypeAn Other Name
NPI ?1144362054
Entity TypeOrganization
Enumeration Date ? Feb 14, 2007
Last Update Date ? May 13, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Kilmichael Clinic

SpecialtySpecializationLicenseLicense State
Clinic/CenterRural Health

legacy-id-icon Legacy Provider IDs of Kilmichael Clinic

Provider IdIssuer StateIssuer TypeIssuer
02621525MississippiMedicaid

official-icon Authorized Official of Kilmichael Clinic

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Kilmichael Clinic's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Calvin Dexter Johnson (MHA)
Authorized Official Title/PositionADMINISTRATOR
Authorized Official Phone Number662-262-4311