FAMILY HEALTH CARE CLINIC, INC (NPI# 1710110374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710110374 |
Entity Type | Organization |
Organization Name | FAMILY HEALTH CARE CLINIC, INC |
Practice Address |
213 South County Road 10 B Taylorsville MS 39168 |
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 | 2009-08-31 |
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 | 03339256 | 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 |
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 |
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 |
213 SOUTH COUNTY ROAD 10 B |
City | TAYLORSVILLE |
State | MS |
Zip Code | 39168 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114248010 | Family Health Care Clinic, Inc | Clinic/Center | 122 W Magnolia Ln, Taylorsville, MS 39168 | 2010-06-15 |
1891020509 | Vera Denise Kennedy-miller | Massage Therapist | 968 Scr 7, Taylorsville, MS 39168 | 2009-10-14 |
1205011608 | Dental Professionals of Mississippi, P.C. | Dentist | 411 Willis St, Taylorsville, MS 39168 | 2008-01-03 |
1154502979 | Family Health Center, Inc | Specialist | 409 Willis Street, Suite 2, Taylorsville, MS 39168 | 2007-11-20 |
1689705253 | Stephen Grant Nichols | Physical Therapist | 140 Eureka Street, Taylorsville, MS 39168 | 2007-03-08 |
1780714386 | Randy's House of Medicine | Durable Medical Equipment & Medical Supplies | 305 Front St, Taylorsville, MS 39168 | 2007-03-06 |
1881773877 | Diane Wyatt | Pharmacist | 305 Front Street, Taylorsville, MS 39168 | 2006-11-02 |
1558458885 | John R. Harper | Family Medicine | 105 Eaton Street, Taylorsville, MS 39168 | 2006-10-06 |
1912015298 | Carolyn Ann Schrader | Nurse Practitioner | 409 Willis Street, Suite 2, Taylorsville, MS 39168 | 2006-08-28 |
1871888271 | Magee Benevolent Association | Family Medicine | 105 Eaton Street, Taylorsville, MS 39168 | 2011-06-14 |
Find all providers in zip 39168 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114248010 | Family Health Care Clinic, Inc | Clinic/Center | 122 W Magnolia Ln, Taylorsville, MS 39168 | 2010-06-15 |
1942214663 | Park Duvalle Community Health Center, Inc. | Clinic/Center | 311 Reasor Ave, Taylorsville, KY 40071-0567 | 2006-07-28 |
1104388263 | Gaston Family Health Services, Inc. | Clinic/Center | 50 Macedonia Church Rd, Taylorsville, NC 28681-8414 | 2019-04-05 |
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 |
City | TAYLORSVILLE |
Zip Code | 39168 |
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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.