Greater Meridian Health Clinic, Inc. in Louisville - Federally Qualified Health Center (fqhc)

Greater Meridian Health Clinic, Inc. - NPI 1770680019

Greater Meridian Health Clinic, Inc. is a Federally Qualified Health Center (fqhc) in Louisville, Mississippi. Greater Meridian Health Clinic, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Greater Meridian Health Clinic, Inc. is 1770680019. The last update date is 2022-07-21.

Greater Meridian Health Clinic, Inc.'s current location address is 14130 Highway 15 S Ste D, Louisville, Mississippi. You can contact this provider via phone number 6627791175 and fax number 6019650324. The mailing address for Greater Meridian Health Clinic, Inc. is 14130 Highway 15 S Ste D, Louisville, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Greater Meridian Health Clinic, Inc.
Address 14130 Highway 15 S Ste D, Louisville, Mississippi
Phone Number 6627791175
Fax Number 6019650324
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Jones L. Wilbert
Telephone Number 6016930118

NPI Number Detail

NPI Number 1770680019
Provider Enumeration Date 2006-09-20
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 14130 Highway 15 S Ste D
City Louisville
State Mississippi (MS)
Post Code 393396452
Phone Number 6627791175
Fax Number 6019650324

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9015060 MS --

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FAQs about Greater Meridian Health Clinic, Inc.

What is the unique 10-digit identification code issued to Greater Meridian Health Clinic, Inc. by the Centers for Medicare & Medicaid Services?

The Greater Meridian Health Clinic, Inc. has been assigned the NPI (National Provider Identifier) 1770680019 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Greater Meridian Health Clinic, Inc.?

The Greater Meridian Health Clinic, Inc. is situated at 14130 Highway 15 S Ste D, in the city of Louisville, state of MS, with the zip code 393396452.

What is Greater Meridian Health Clinic, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Greater Meridian Health Clinic, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.

On what date did the Greater Meridian Health Clinic, Inc. receive the assignment of its 1770680019 from the Centers for Medicare & Medicaid Services?

The Greater Meridian Health Clinic, Inc. was issued its 1770680019 by the Centers for Medicare & Medicaid Services on 2006-09-20.

As of what date was the information regarding Greater Meridian Health Clinic, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Greater Meridian Health Clinic, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.

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