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ACCESS FAMILY HEALTH SERVICES INC. NPI 1194991976


NPI Information

NPI: 1194991976
Provider Name: ACCESS FAMILY HEALTH SERVICES, INC.

Doing Business As: ACCESS FAMILY HEALTH - TUPELO

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 25D1015272

Address:
499 GLOSTER CREEK VLG
SUITE D-1
TUPELO, MS
ZIP 38801
Phone: (662) 690-8007
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ACCESS FAMILY HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Tupelo, MS. ACCESS FAMILY HEALTH SERVICES, INC. NPI is 1194991976. The provider is registered as an organization entity type.
The provider Is Doing Business As Access Family Health - Tupelo.

The provider's business location address is:

499 GLOSTER CREEK VLG
SUITE D-1
TUPELO, MS
ZIP 38801-600
Phone: (662) 690-8007
Fax: (662) 842-4653

The provider's authorized official is Marilyn Sumerford .
The authorized official title is Executive Director and has the following contact phone number (662) 651-4686.

The CLIA number assigned to this NPI record is 25D1015272 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2008 and was last updated on 8/9/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C02928MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI
2DB3359OTHERMISSISSIPPIRAILROAD MEDICARE PTAN
305935316MEDICAIDMISSISSIPPI
4251978MEDICARE OSCAR/CERTIFICATION

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: 4/28/2024

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