| Region Iv The Hub | |
|
7139c Commerce Dr Olive Branch MS 38654-2114 | |
| (662) 420-7387 | |
| Not Available |
| Full Name | Region Iv The Hub |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7139c Commerce Dr, Olive Branch, Mississippi |
| Authorized Official Name and Position | Jason Ramey (INTERIM DIRECTOR) |
| Authorized Official Contact | 6622869883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Region Iv The Hub Po Box 839 Corinth MS 38835-0839 Ph: (662) 286-9883 | Region Iv The Hub 7139c Commerce Dr Olive Branch MS 38654-2114 Ph: (662) 420-7387 |
| NPI Number | 1528436862 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528436862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | REG4-AGENGY (Mississippi) | Primary |
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