KING FAMILY HEALTHCARE, INC.


Address: 815 Childs Street, Corinth, MS 38834-3720
Phone: 6626650006

KING FAMILY HEALTHCARE, INC. (NPI# 1134383482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134383482
Entity Type Organization
Organization Name KING FAMILY HEALTHCARE, INC.
Other Organization Name MID-TOWN MEDICAL
Practice Address 815 Childs Street
Corinth
MS 38834-3720
Mailing Address 815 Childs St
Po Box 1854
Corinth
MS 38834-4934
Practice Telephone 6626650006
Practice Fax Number 6626659151
Mailing Telephone 6626650006
Mailing Fax Number 6626659151
Enumeration Date 2008-07-16
Last Update Date 2017-02-03
Authorized Official Name DEBORAH B KING (PRESIDENT)
Authorized Official Telephone 6626650006
Authorized Official Credential CFNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
R568031 MS Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS 00119995 05
BCBS 428040637B 01
MEDICARE 500000543 01
MS UPIN S44159 01

Other Provider/Organization Names

Other Name Type Code
Mid-Town Medical Doing Business As Name - Organization

Office Location

Street Address 815 CHILDS STREET
City CORINTH
State MS
Zip Code 38834-3720

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477176824 Crystalcare Clinic/Center 3124 N Shiloh Road, Corinth, MS 38834 2020-05-20
1962046680 Wanda Lee Kilpatrick Technician 1206 Breckenridge St., Corinth, MS 38834 2019-11-06
1215595756 Alanna Nunez Heflin Dentist 3127 E Shiloh Rd, Corinth, MS 38834 2019-05-30
1629530795 A Port In The Storm (apits) Clinic/Center 102 N. Cass Street, Suite B, Corinth, MS 38834 2019-04-05
1538654199 Jerry Wayne Latch Durable Medical Equipment & Medical Supplies 206 N Fillmore St, Corinth, MS 38834 2018-06-26
1194215681 Brooks Medical Clinic Clinic/Center 2113 South Tate Street, Corinth, MS 38834 2018-05-10
1164938650 Pediatric Dentistry of Corinth Dentist 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 2017-12-19
1467964536 King Speech-language Therapy, LLC Speech-Language Pathologist 2203 Hwy 72 East, Corinth, MS 38834 2017-10-30
1841669728 Glenda Gatlin Social Worker 14 Cr 305, Corinth, MS 38834 2015-09-21
1649646555 Amanda Word Social Worker 303 North Madison Street, Corinth, MS 38834 2015-08-14
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477176824 Crystalcare Clinic/Center 3124 N Shiloh Road, Corinth, MS 38834 2020-05-20
1194215681 Brooks Medical Clinic Clinic/Center 2113 South Tate Street, Corinth, MS 38834 2018-05-10
1245351048 North Harper Minor Medical Clinic, LLC Clinic/Center 121 A Pratt Drive, Suite C, Corinth, MS 38834 2007-04-02
1669810636 Faith Family Clinic of Kossuth, LLC Clinic/Center 820 Highway 2, Corinth, MS 38834-7954 2013-06-11
1265629398 Walden Family Medicine, Pa Clinic/Center 3504 Corinth Parkway, Suite 150, Corinth, TX 76208 2007-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134759780 Family First Clinic of Hernando, Limited Clinic/Center 2416 Mount Pleasant Rd, Hernando, MS 38632-2001 2020-01-23
1720640899 Home In The Woods Healthcare Clinic, LLC Clinic/Center 6572 County Road 514, Itta Bena, MS 38941-2746 2019-06-28
1366003436 Blackwell's Family Medicine LLC Clinic/Center 107 Ball Ave, Tylertown, MS 39667-2101 2019-06-27
1710545488 Primary and Behavioral Healthcare Services, Pa Clinic/Center 717 E. Fortification St., Jackson, MS 39202-2402 2019-05-29
1720559354 Golden Years Geriatrics Inc. Clinic/Center 1233 County Road 108, New Albany, MS 38652-9787 2018-12-07
1316421373 Children's International, LLC Clinic/Center 2003 Wildwood Rd, Picayune, MS 39466-2178 2018-09-17
1124505912 Thaxton Family Medical Clinic LLC Clinic/Center 11145 Highway 6 W, Thaxton, MS 38871-9024 2018-07-24
1316439615 Quad/med, LLC Clinic/Center 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 2018-06-01
1184120883 Lena Family Medical, Inc. Clinic/Center 1107 Grand Avenue, Lena, MS 39094 2018-04-02
1114427507 Advance Care, LLC Clinic/Center 14 Northtown Dr Ste 105, Jackson, MS 39211-3018 2018-02-13
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Competitor

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City CORINTH
Zip Code 38834

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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