FAMILY HEALTH CARE CLINIC, INC (NPI# 1346266616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346266616 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CARE CLINIC, INC |
| Practice Address |
1551 W Government St Brandon MS 39042 |
| Mailing Address |
Po Box 24116 Jackson MS 39225-4116 |
| Practice Telephone | 6018253163 |
| Practice Fax Number | 6018257893 |
| Mailing Telephone | 6018257280 |
| Mailing Fax Number | 6018258130 |
| Enumeration Date | 2006-07-13 |
| 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) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09014313 | 05 |
| 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 |
| 1235371659 | Family Health Care Clinic, Inc | Clinic/Center | 445 Main St E, Meadville, MS 39653 | 2009-03-31 |
| 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 |
| 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 |
1551 W GOVERNMENT ST |
| City | BRANDON |
| State | MS |
| Zip Code | 39042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174590319 | Ailean Chase Stingley | Dentist | 1551 W Government St, Brandon, MS 39042 | 2006-03-07 |
| 1134552078 | Sylvia Wingo | Pediatrics | 1551 W Government St, Brandon, MS 39042-2408 | 2013-08-14 |
| 1932362951 | Kendria Valencia Ward | Pediatrics | 1551 W Government St, Brandon, MS 39042-2408 | 2008-07-09 |
| 1164607552 | Family Health Care Clinic, Inc. | Clinic/Center | 1551 W Government St, Brandon, MS 39042 | 2008-01-03 |
| 1467541409 | Alice T Lorenzana | Pediatrics | 1551 W Government St, Brandon, MS 39042-2408 | 2006-10-11 |
| 1811083298 | Kathryn R Kolar | Nurse Practitioner | 1551 W Government St, Brandon, MS 39042-2408 | 2006-10-05 |
| 1700897444 | Phyllis Ann Hightower | Pediatrics | 1551 W Government St, Brandon, MS 39042-2408 | 2006-08-10 |
| 1558380105 | Laurie A Barnes | Dentist | 1551 W Government St, Brandon, MS 39042-2408 | 2006-07-18 |
| 1295753804 | Bettie D Knight | Pediatrics | 1551 W Government St, Brandon, MS 39042-2408 | 2006-07-18 |
| 1962437582 | Nusrat J Khansur | Internal Medicine | 1551 W Government St, Brandon, MS 39042-2408 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1669830832 | Suncoast Community Health Centers, Inc | Clinic/Center | 313 South Lakewood Drive, Brandon, FL 33511 | 2016-02-03 |
| 1427550904 | Suncoast Community Health Centers, Inc | Clinic/Center | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2018-03-01 |
| 1386993947 | Suncoast Community Health Centers, Inc | Clinic/Center | 710 Oakfield Dr, Suite 105, Brandon, FL 33511-4938 | 2012-08-29 |
| 1467717207 | Suncoast Community Health Centers, Inc | Clinic/Center | 1463 Oakfield Dr, Brandon, FL 33511-3899 | 2012-07-09 |
| 1295013852 | Suncoast Community Health Centers, Inc | Clinic/Center | 125 N Moon Ave, Suite A, Brandon, FL 33510-4431 | 2011-08-01 |
| 1073567590 | Community Health Centers of The Rutland Region, Inc. | Clinic/Center | 420 Grove St, Brandon, VT 05733-9062 | 2006-05-20 |
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|---|---|---|---|---|
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| 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.