FAMILY HEALTH CARE CLINIC, INC.


Address: 1495 Us Highway 61 S, Woodville, MS 39669
Phone: 6018257280

FAMILY HEALTH CARE CLINIC, INC. (NPI# 1336381946) 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) 1336381946
Entity Type Organization
Organization Name FAMILY HEALTH CARE CLINIC, INC.
Practice Address 1495 Us Highway 61 S
Woodville
MS 39669
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 2009-03-27
Last Update Date 2020-04-16
Authorized Official Name KARINA MARIE CLAYTON (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 6018257280
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MS 01874324 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1639644826 Family Health Care Clinic, Inc. Clinic/Center 150 J E Johnson Rd, Prentiss, MS 39474-3101 2018-10-04
1083087985 Family Health Care Clinic, Inc. Clinic/Center 102 Blackmur Dr, Water Valley, MS 38965 2015-11-02
1437412996 Family Health Care Clinic, Inc. Clinic/Center 5096 Highway 49, Piney Woods, MS 39148 2012-06-20
1588992333 Family Health Care Clinic, Inc. Clinic/Center 16410 Highway 72, Rogersville, AL 35652 2009-12-04
1881827434 Family Health Care Clinic, Inc. Clinic/Center 125 School Rd, Mize Attendance Center, Mize, MS 39116 2009-08-31
1487887022 Family Health Care Clinic, Inc. Clinic/Center 130 Lexie Road, Tylertown, MS 39429 2009-08-31
1801029467 Family Health Care Clinic, Inc. Clinic/Center 125 Carter Street, Calhoun City, MS 38916 2009-08-31
1952534505 Family Health Care Clinic, Inc. Clinic/Center 592 Schoolhouse Rd, Pinola, MS 39149 2009-08-31
1376776930 Family Health Care Clinic, Inc. Clinic/Center 225 Saint Paul Road, Tylertown, MS 39667 2009-08-31
1720211386 Family Health Care Clinic, Inc. Clinic/Center 1823 Highway 24 West, Woodville, MS 39669 2009-08-31

Other Data Sources

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

Office Location

Street Address 1495 US HIGHWAY 61 S
City WOODVILLE
State MS
Zip Code 39669

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134607393 Granger LLC Non-emergency Medical Transport (VAN) 16 Flower Ln, Woodville, MS 39669 2018-07-31
1427576743 Roslyn Jill Smith Pharmacist 211 Hwy 61 South, Woodville, MS 39669 2017-09-07
1386176055 Lashonda Tolliver Counselor 64 Tolliver Ln, Woodville, MS 39669 2017-03-31
1548660954 Alicia Freeman Randall Social Worker 2045 Hwy 24 East, Woodville, MS 39669 2014-09-04
1659796340 Caring 4 You Adult Daycare Center, LLC Respite Care 1580 Highway 24 West, Woodville, MS 39669 2014-03-04
1720211386 Family Health Care Clinic, Inc. Clinic/Center 1823 Highway 24 West, Woodville, MS 39669 2009-08-31
1306052238 Don Harvey Cummings Pharmacist 179 Boston Row, Woodville, MS 39669 2007-05-15
1053415190 Mckenzie Healthcare Solutions Durable Medical Equipment & Medical Supplies 751 Main Street, Woodville, MS 39669 2006-09-11
1750313797 Freds Stores of Tennessee Inc Pharmacy 211 U.S. Hwy 61 South, Woodville, MS 39669 2006-07-07
1275532806 Tobie Delton Moore Dentist 643 Highway 61 S, Woodville, MS 39669-1297 2005-07-15
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932529831 Altura Centers for Health Clinic/Center 16686 Road 168, Woodville, CA 93257 2014-04-18
1720211386 Family Health Care Clinic, Inc. Clinic/Center 1823 Highway 24 West, Woodville, MS 39669 2009-08-31
1649327883 Northeast Alabama Health Services, Inc. Clinic/Center 13624 County Road 8, Woodville, AL 35776-6162 2007-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871193722 Coastal Family Health Center, Inc Clinic/Center 12424 Highway 57, Vancleave, MS 39565-8608 2020-10-29
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
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Competitor

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City WOODVILLE
Zip Code 39669

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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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