Hollandale Family Care PC ( Closed )
Rural health clinic in Hollandale, MS, Medicare certification number 253940.
Medicare certification
Provider of Services- CCN
- 253940
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 2B
- Participating since
- Nov 21, 1994
- Last certification
- Nov 2, 2018
- Most recent change of ownership
- Dec 31, 2005 (1 total)
- Address
- 1257 Highway 61 South
Hollandale, MS 38748
(662) 827-2214
NPI records for this facility (CCN to NPI Mapping) 1
-
- Family Nurse Practitioner
- Hollandale, MS
- NPI 1790237345
Name & address match
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.