FAMILY HEALTH CENTER, INC. (NPI# 1932739034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932739034 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTER, INC. |
| Practice Address |
117 S 11th Ave Laurel MS 39440-4312 |
| Practice Telephone | 6014253033 |
| Mailing Telephone | 6014253033 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | DR. RASHAD N. ALI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6014253033 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 347B00000X | Bus | Transportation Services | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Health Center, INC Mobile Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891005906 | Family Health Center, Inc. | Clinic/Center | 1308 N Burdick St, Kalamazoo, MI 49007-2553 | 2010-10-08 |
| 1669697660 | Family Health Center, Inc. | Family Medicine | 103 11th St. Ste 7, Chillicothe, MO 64601 | 2007-04-16 |
| 1821132937 | Family Health Center, Inc. | Family Medicine | 431 N Rose St, Kalamazoo, MI 49007-3637 | 2007-02-20 |
| 1023560331 | Family Health Center, Inc. | Clinic/Center | 505 E Alcott St, Kalamazoo, MI 49001 | 2016-11-03 |
| 1356899629 | Family Health Center, Inc. | Clinic/Center | 3299 Gull Rd, Room G- 5, Kalamazoo, MI 49048-1281 | 2016-09-15 |
| 1477919603 | Family Health Center, Inc. | Clinic/Center | 117 S 11th Ave, Laurel, MS 39440-4312 | 2016-01-04 |
| 1598068553 | Family Health Center, Inc. | Clinic/Center | 2918 Portage St, Kalamazoo, MI 49001-3755 | 2010-12-14 |
| 1326229147 | Family Health Center, Inc. | Community Health Worker | 117 S 11th Ave, Laurel, MS 39440-4312 | 2007-11-20 |
| 1386789279 | Family Health Center, Inc. | Family Medicine | 2030 Portage St, Kalamazoo, MI 49001-3836 | 2007-02-20 |
| Street Address |
117 S 11TH AVE |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195536 | Gayla B. Glenn | Dietitian, Registered | 117 S 11th Ave, Laurel, MS 39440-4312 | 2005-06-27 |
| 1508406802 | Jessica Lynn Anderson | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2020-01-14 |
| 1093373110 | Sarah Nicole Thames | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2019-06-04 |
| 1386197697 | Scott Fowler | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2016-08-03 |
| 1477919603 | Family Health Center, Inc. | Clinic/Center | 117 S 11th Ave, Laurel, MS 39440-4312 | 2016-01-04 |
| 1649666744 | Sheree Lamara Conley-donaldson | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2015-04-15 |
| 1548656614 | Lashundra Shanett Speights | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2015-04-15 |
| 1245648104 | Casey Herrington | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2014-07-23 |
| 1497187512 | Felicia Keys | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2013-07-31 |
| 1780927442 | Ladonna Michelle Phillips | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2013-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| 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 |
|---|---|---|---|---|
| 1093058968 | Family Health Center | Clinic/Center | 117 S 11th Ave, Laurel, MS 39440-4312 | 2013-03-29 |
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| 1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
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| 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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| 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.