FAMILY HEALTH CARE CLINIC, INC (NPI# 1720234248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720234248 |
Entity Type | Organization |
Organization Name | FAMILY HEALTH CARE CLINIC, INC |
Practice Address |
105 Legion Ave Calhoun City MS 38916 |
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 | 2008-08-15 |
Last Update Date | 2018-07-04 |
Authorized Official Name | KARINA MARIE CLAYTON (CHIEF FINANCIAL) |
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 | 08930739 | 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 |
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 |
105 LEGION AVE |
City | CALHOUN CITY |
State | MS |
Zip Code | 38916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447324876 | Health Care Engineers, LLC | Clinic/Center | 105 Legion Ave, Calhoun City, MS 38916 | 2006-11-18 |
1093265233 | Lindsey Easley Smith | Nurse Practitioner | 105 Legion Ave, Calhoun City, MS 38916 | 2016-10-12 |
1336333772 | Connie Lynn Tramel | Nurse Practitioner | 105 Legion Ave, Calhoun City, MS 38916-6601 | 2007-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225580046 | Wade Clinic LLC | Nurse Practitioner | 206 E Taylor Ave, Calhoun City, MS 38916 | 2016-10-27 |
1407302151 | Webster Health Services, Inc | Clinic/Center | 595 East Veterans Avenue, Suite B, Calhoun City, MS 38916 | 2016-08-31 |
1801029467 | Family Health Care Clinic, Inc. | Clinic/Center | 125 Carter Street, Calhoun City, MS 38916 | 2009-08-31 |
1740462563 | Blount Medical LLC | Durable Medical Equipment & Medical Supplies | 132 A Public Square, Calhoun City, MS 38916 | 2007-12-04 |
1508995499 | Michelle Rice | Nurse Practitioner | 120 Burke Calhoun City Rd, Calhoun City, MS 38916 | 2007-03-05 |
1669510798 | Calhoun City Medical Clinic | Family Medicine | 120 Burke - Calhoun City Road, Calhoun City, MS 38916 | 2007-02-01 |
1467515544 | Malcom Ray Teas | Chiropractor | 239 Hwy 8 East, Teas Chiropractic Clinic, Calhoun City, MS 38916 | 2006-12-19 |
1316036395 | Jimmy Gage Dobbs | Dentist | 104 North Main Street, Calhoun City, MS 38916 | 2006-10-11 |
1093811903 | Calhoun Health Services Nursing Home | Nursing Facility/Intermediate Care Facility | 152 Burke Calhoun City Rd, Calhoun City, MS 38916 | 2006-09-16 |
1962413369 | Chandler Drug Inc | Pharmacy | 131 Main Street, Public Square, Calhoun City, MS 38916 | 2006-08-10 |
Find all providers in zip 38916 |
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 |
---|---|---|---|---|
1801029467 | Family Health Care Clinic, Inc. | Clinic/Center | 125 Carter Street, Calhoun City, MS 38916 | 2009-08-31 |
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 | CALHOUN CITY |
Zip Code | 38916 |
Please comment or provide details below to improve the information on FAMILY HEALTH CARE CLINIC, INC.
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.