FAMILY HEALTH CARE CLINIC, INC


Address: 1732 Commerce St, Grenada, MS 38901
Phone: 6018257280

FAMILY HEALTH CARE CLINIC, INC (NPI# 1629224696) 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) 1629224696
Entity Type Organization
Organization Name FAMILY HEALTH CARE CLINIC, INC
Practice Address 1732 Commerce St
Grenada
MS 38901
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 2008-08-11
Last Update Date 2018-07-04
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 08826581 05

Other Provider IDs and Locations

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
1346266616 Family Health Care Clinic, Inc Clinic/Center 1551 W Government St, Brandon, MS 39042 2006-07-13

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 1732 COMMERCE ST
City GRENADA
State MS
Zip Code 38901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447264882 Physicians and Surgeons Clinic/Center 1732 Commerce St, Grenada, MS 38901-4615 2006-07-29
1760782981 Katrina L Bays Nurse Practitioner 1732 Commerce St, Grenada, MS 38901-4615 2010-10-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902435118 The Mane Physician Prosthetic/Orthotic Supplier 94 Spain Drive, Grenada, MS 38901 2020-04-08
1942842166 Sylvia C Bass Technician 813 Union Street, Grenada, MS 38901 2019-10-09
1669971180 Jenny Taylor Nurse Practitioner 350 Sunset Drive, Grenada, MS 38901 2018-02-10
1073912762 John Thomas Mcree I Counselor 2026 Commerce St Ste 8e, Grenada, MS 38901 2014-08-19
1700213634 State of Mississippi-university of Mississippi Medical Center Home Health 960 Avent Drive, Grenada, MS 38901 2013-10-10
1114359866 Cmhp Enterprises Dentist 1420 Wooded Drive, Grenada, MS 38901 2013-08-05
1518256460 Mercy Hospice LLC Hospice Care, Community Based 1410 Wooded Drive, Grenada, MS 38901 2011-03-31
1215256318 Della Lea Welsh Speech-Language Pathologist 1321 Dd Sunset Dr., Grenada, MS 38901 2010-05-28
1750514543 Family Health Care Clinic, Inc. Clinic/Center 1102 Telegraph St, Grenada, MS 38901 2009-08-27
1033384771 Jason K Bennett Pharmacist 140 Shadow Wood Cv, Grenada, MS 38901 2008-04-24
Find all providers in zip 38901

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
1750514543 Family Health Care Clinic, Inc. Clinic/Center 1102 Telegraph St, Grenada, MS 38901 2009-08-27

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
Find all providers with the same taxonomy

Competitor

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City GRENADA
Zip Code 38901

Improve Information

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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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