South Central Clinics, Inc
Doing business as Ellisville Pediatric Clinic
Rural health clinic in Ellisville, MS, Medicare certification number 253437.
Medicare certification
Provider of Services- CCN
- 253437
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 2B
- Participating since
- Jan 17, 1995
- Last certification
- Aug 13, 2018
- Address
- 1203 Avenue B
Ellisville, MS 39437
(601) 477-8553
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Ellisville Pediatric Clinic
- Rural Health Clinic/Center
- Ellisville, MS
- NPI 1427098003
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.