Gloster Dental Services | |
253 East Main Street Gloster MS 39638 | |
(601) 225-4119 | |
(601) 225-4620 |
Full Name | Gloster Dental Services |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 253 East Main Street, Gloster, Mississippi |
Authorized Official Name and Position | Pam T. Poole (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6016574326 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gloster Dental Services Po Box 427 Gloster MS 39638-0427 Ph: (601) 225-4119 | Gloster Dental Services 253 East Main Street Gloster MS 39638 Ph: (601) 225-4119 |
NPI Number | 1700108578 |
---|---|
Provider Enumeration Date | 02/22/2010 |
Last Update Date | 02/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700108578 | NPI | - | NPPES |
09013203 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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› Verified 9 days ago
Fmch Gloster Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 N Captain Gloster Dr, Gloster, MS 39638 Phone: 601-224-4711 | |
Fmch Gloster Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 434 N Captain Gloster Dr, Gloster, MS 39638 Phone: 601-225-4711 | |
Rkm Primary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6002 Hancock Rd, Gloster, MS 39638 Phone: 601-225-7206 |