Woman's Health Clinic Of Grenada, Inc | |
1401 Oak St Grenada MS 38901-4633 | |
(662) 226-4010 | |
(662) 226-4495 |
Full Name | Woman's Health Clinic Of Grenada, Inc |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1401 Oak St, Grenada, Mississippi |
Authorized Official Name and Position | Gale H Moore (OWNER) |
Authorized Official Contact | 6622264010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Woman's Health Clinic Of Grenada, Inc 1401 Oak Street Grenada MS 38901-4633 Ph: (662) 226-4010 | Woman's Health Clinic Of Grenada, Inc 1401 Oak St Grenada MS 38901-4633 Ph: (662) 226-4010 |
NPI Number | 1013032150 |
---|---|
Provider Enumeration Date | 03/20/2007 |
Last Update Date | 06/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013032150 | NPI | - | NPPES |
09013808 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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