FAMILY HEALTH CARE CLINIC, INC (NPI# 1952873994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952873994 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CARE CLINIC, INC |
| Practice Address |
298 Hwy 18 West Bay Springs MS 39422 |
| 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 | 2018-12-31 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | MARGARET A GRAY (PRESIDENT & CEO) |
| Authorized Official Telephone | 6018257280 |
| Authorized Official Credential | DPA |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
298 HWY 18 WEST |
| City | BAY SPRINGS |
| State | MS |
| Zip Code | 39422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578019808 | Rebecca Little | Nurse Practitioner | 27 S. 6th Street, Bay Springs, MS 39422 | 2016-08-28 |
| 1689930372 | Region Ten Commission On Mental Health | Clinic/Center | 9 North Second Street, Bay Springs, MS 39422 | 2012-04-06 |
| 1760790778 | Bay Springs Eye Care LLC | Optometrist | 16 South 6th Street, Bay Springs, MS 39422 | 2010-09-24 |
| 1174787915 | Tracy Lee Williams | Dentist | 12 South 6th Street, Bay Springs, MS 39422 | 2008-07-10 |
| 1316137052 | Bethany Ann South | Optometrist | 16 South 16th St, Bay Springs, MS 39422 | 2007-07-30 |
| 1972717858 | Dr. Benjamin J. Hodges and Associates, P.a. | Dentist | 2683 Hwy. 15, 2683 Hwy. 15, Bay Springs, MS 39422 | 2007-05-09 |
| 1003983420 | Paul Alan Little | Chiropractor | 13 East 8th Avenue, Bay Springs, MS 39422 | 2006-11-29 |
| 1194825513 | Mary E Clawson | Internal Medicine | Family Medical Clinic, 20 South 6th Street, Bay Springs, MS 39422 | 2006-09-25 |
| 1023118817 | Jasper General Hospital | Durable Medical Equipment & Medical Supplies | 15 A South 6th Street, Bay Springs, MS 39422 | 2006-09-22 |
| 1992804512 | Jasper County Nursing Home | Nursing Facility/Intermediate Care Facility | 15a South 6th Street, Bay Springs, MS 39422 | 2006-09-21 |
| Find all providers in zip 39422 | ||||
| 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 |
|---|---|---|---|---|
| 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 | BAY SPRINGS |
| Zip Code | 39422 |
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.