Outreach Health Services,inc.

NPI 1255521480 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1255521480
Enumeration Date 07/25/2007
Last Updated 11/02/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TERRY D TERRY
Position OFFICE MANAGER
Phone (601) 787-3464
Fax (601) 787-3400
Practice Location
309 PINE AVE
HEIDELBERG MS, 39439, US
Phone (601) 787-3464
Fax (601) 787-3400
Business Location
309 PINE AVE
HEIDELBERG MS, 39439-3281, US
Phone (601) 787-3464
Fax (601) 787-3400
Toxanomy
Taxonomy Code 302R00000X
License State Mississippi
License Number R624705
Remove 1255521480 NPI Number
 

According to our database, Outreach Health Services,inc. NPI is 1255521480, taxonomy code is 302R00000X and license number is R624705, license state is located at Mississippi. Outreach Health Services,inc. physically located at 309 Pine Ave, Heidelberg MS, 39439. NPI Number 1033115704 has the healthcare provider type.

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1255521480 NPI number is provided on an as is basis without warranty of any kind. 1255521480 is maintained by the National Plan & Provider Enumeration System. The contents of Outreach Health Services,inc. are for informational purposes only.