Whalio Doctors

NPI 1255521480

Outreach Health Services,inc.

Organisation Health Maintenance Organization Heidelberg, MS

Practice location

Address
309 Pine Ave, Heidelberg, MS 39439
Phone
(601) 787-3464
Fax
(601) 787-3400
Mailing address
309 Pine Ave, Heidelberg, MS 39439-3281

Authorised official

Name
Terry D Everett
Title
Office Manager
Phone
(601) 787-3464

Registered specialties

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X Licence R624705 (MS)

Registry record

NPI
1255521480
Entity type
Organization
NPI issued
25 Jul 2007
Record last updated
2 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.