FAMILY HEALTH CARE CLINIC, INC (NPI# 1235371659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235371659 |
Entity Type | Organization |
Organization Name | FAMILY HEALTH CARE CLINIC, INC |
Practice Address |
445 Main St E Meadville MS 39653 |
Mailing Address |
Po Box 24116 Jackson MS 39225-4116 |
Practice Telephone | 6018257280 |
Practice Fax Number | 6018258130 |
Mailing Telephone | 6018257280 |
Mailing Fax Number | 6018258130 |
Enumeration Date | 2009-03-31 |
Last Update Date | 2018-07-03 |
Authorized Official Name | KARINA MARIE CLAYTON (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 6018257280 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MS | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 08588025 | 05 | |
MS | MEDICARE ID-TYPE UNSPECIFIED | 251981 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952873994 | Family Health Care Clinic, Inc | Clinic/Center | 298 Hwy 18 West, Bay Springs, MS 39422 | 2018-12-31 |
1114248010 | Family Health Care Clinic, Inc | Clinic/Center | 122 W Magnolia Ln, Taylorsville, MS 39168 | 2010-06-15 |
1710110374 | Family Health Care Clinic, Inc | Clinic/Center | 213 South County Road, 10 B, Taylorsville, MS 39168 | 2009-08-31 |
1003049016 | Family Health Care Clinic, Inc | Clinic/Center | 102 Physicians Dr, Suite B, Muscle Shoals, AL 35661 | 2009-08-25 |
1720234248 | Family Health Care Clinic, Inc | Clinic/Center | 105 Legion Ave, Calhoun City, MS 38916 | 2008-08-15 |
1629224696 | Family Health Care Clinic, Inc | Clinic/Center | 1732 Commerce St, Grenada, MS 38901 | 2008-08-11 |
1346266616 | Family Health Care Clinic, Inc | Clinic/Center | 1551 W Government St, Brandon, MS 39042 | 2006-07-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FAMILY HEALTH CARE CLINIC, INC. | 4635 Highway 80 E, Pearl, MS 39208-4226 |
Street Address |
445 MAIN ST E |
City | MEADVILLE |
State | MS |
Zip Code | 39653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043239916 | Boswell Regional Center | Clinic/Center | 445 Main St E, Meadville, MS 39653-9293 | 2006-07-19 |
1851795876 | Lindsey Jackson | Nurse Practitioner | 445 Main St E, Meadville, MS 39653-9293 | 2014-10-20 |
1568745966 | Noralyn Christina Blalock-perkins | Nurse Practitioner | 445 Main St E, Meadville, MS 39653-9293 | 2011-09-21 |
1588984199 | Anna Jeanette Britt | Nurse Practitioner | 445 Main St E, Meadville, MS 39653-9293 | 2010-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871092544 | Bigner Drugs LLC | Pharmacy | 488 Main St East, Po Box 952, Meadville, MS 39653 | 2018-02-07 |
1518400191 | Franklin County Memorial Hospital Dba Fc Sports and Therapy Center | Clinic/Center | 248 B Main St W, Meadville, MS 39653 | 2016-11-30 |
1275962136 | Franklin County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 248 Main St W, Meadville, MS 39653 | 2013-11-01 |
1811208309 | Rural Rapid Response Inc | Ambulance | 165 Walnut St. South, Meadville, MS 39653 | 2010-06-29 |
1497962559 | Franklin County School District | Physical Therapist | 491 Highway 98 East, Meadville, MS 39653 | 2007-05-17 |
1023220183 | Franklin County School District | Registered Nurse | 481 Hwy. 98 East, Meadville, MS 39653 | 2007-05-03 |
1295851970 | Anthony Jay Ezell | Occupational Therapy Assistant | 113 Main St., Meadville, MS 39653 | 2007-03-22 |
1295866168 | Franklin County Memorial Hospital | Clinic/Center | 115b Highway 556, Meadville, MS 39653 | 2007-03-09 |
1417008103 | Suezan C. Mccormick | Dentist | 115 Hwy 556, Meadville, MS 39653 | 2007-01-16 |
1174604318 | Bradley Bowlin | Family Medicine | 115b Hwy 556, Meadville, MS 39653 | 2006-10-17 |
Find all providers in zip 39653 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1992305445 | Coastal Family Health Center, Inc | Clinic/Center | 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 | 2020-10-26 |
1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
1033755343 | Access Family Health Services, Inc. | Clinic/Center | 179 Mullen Ave, Nettleton, MS 38858-6033 | 2019-11-21 |
1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 2019-08-14 |
1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 2019-08-14 |
1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
1750937959 | Delta Health Center, Inc | Clinic/Center | 212 E Claiborne St, Sunflower, MS 38778-9640 | 2019-08-13 |
1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
Find all providers with the same taxonomy |
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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.