FAMILY HEALTH CARE CLINIC INC. NPI 1043236326

NPI Information

  • NPI: 1043236326
  • Provider Name: FAMILY HEALTH CARE CLINIC, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • CLIA Number: 25D0885819
  • Address: 4635 HIGHWAY 80 E
    PEARL, MS
    ZIP 39208
  • Phone: (601) 936-3833

Map and Directions

Get Directions

NPI Details

FAMILY HEALTH CARE CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Pearl, MS. FAMILY HEALTH CARE CLINIC, INC. NPI is 1043236326. The provider is registered as an organization entity type.

The provider's business location address is:

4635 HIGHWAY 80 E
PEARL, MS
ZIP 39208
Phone: (601) 936-3833
Fax: (601) 936-3837

The provider's authorized official is Karina Marie Clayton .
The authorized official title is Chief Financial Officer and has the following contact phone number (601) 825-7280.

The CLIA number assigned to this NPI record is 25D0885819 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/13/2006 and was last updated on 4/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109014676MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI