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FAMILY HEALTH CARE CLINIC INC. NPI 1639644826


NPI Information

NPI: 1639644826
Provider Name: FAMILY HEALTH CARE CLINIC, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
150 J E JOHNSON RD
PRENTISS, MS
ZIP 39474
Phone: (601) 825-7280
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FAMILY HEALTH CARE CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Prentiss, MS. FAMILY HEALTH CARE CLINIC, INC. NPI is 1639644826. The provider is registered as an organization entity type.

The provider's business location address is:

150 J E JOHNSON RD
PRENTISS, MS
ZIP 39474-101
Phone: (601) 825-7280
Fax: (601) 825-8130

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 enumeration date for this NPI number is 10/4/2018 and was last updated on 10/4/2018.


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
1NONEOTHERMISSISSIPPINONE

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: 11/14/2023

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.