| Church Street Clinic | |
|
500 Ccc Road Belzoni MS 39038-0000 | |
| (662) 247-3831 | |
| (662) 247-4114 |
| Full Name | Church Street Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 500 Ccc Road, Belzoni, Mississippi |
| Authorized Official Name and Position | Ray Shoemaker (CEO) |
| Authorized Official Contact | 6623211155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Church Street Clinic Po Box 510 Belzoni MS 39038-0510 Ph: (662) 247-3831 | Church Street Clinic 500 Ccc Road Belzoni MS 39038-0000 Ph: (662) 247-3831 |
| NPI Number | 1720253735 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720253735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Gorton Lab And X-ray, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Church St, Belzoni, MS 39038 Phone: 662-247-2105 Fax: 662-247-4849 | |
G A Carmichael Family Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 E First St, Belzoni, MS 39038 Phone: 622-247-1252 Fax: 601-859-8771 | |
Church Street Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Ccc Rd, Belzoni, MS 39038 Phone: 662-247-3874 | |
G A Carmichael Family Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16463 Us Highway 49, Belzoni, MS 39038 Phone: 601-859-5213 Fax: 601-859-8771 | |
House Calls Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 N Hayden St, Belzoni, MS 39038 Phone: 662-247-1254 | |
Patients Choice Clinic Of Belzoni Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 E First St, Belzoni, MS 39038 Phone: 662-247-3121 Fax: 662-247-3170 | |
Patients Choice Primary Care/wound Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 First Street Extension, Belzoni, MS 39038 Phone: 662-247-3121 Fax: 662-247-3170 |