VOICE OF CALVARY FAMILY HEALTH CENTER INC NPI 1770525057

NPI Information

VOICE OF CALVARY FAMILY HEALTH CENTER INC is a point of service in Jackson, MS. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. VOICE OF CALVARY FAMILY HEALTH CENTER INC NPI is 1770525057. The provider is registered as an organization entity type.

The provider's business location address is:

350 W WOODROW WILSON AVE
SUITE 611
JACKSON, MS
ZIP 39213-681
Phone: (601) 713-3233
Fax: (601) 713-2851

The provider's authorized official is Primaus Wheeler .
The authorized official title is Chief Executive Officer and has the following contact phone number (601) 984-8467.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 5/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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