FAMILY HEALTH CARE CLINIC INC NPI 1689816001

NPI Information

NPI: 1689816001
Provider Name: FAMILY HEALTH CARE CLINIC, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
215 HIGHWAY 51 S
BROOKHAVEN, MS
ZIP 39601
Phone: (601) 825-7280
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FAMILY HEALTH CARE CLINIC, INC is a federally qualified health center (fqhc) clinic center in Brookhaven, MS. FAMILY HEALTH CARE CLINIC, INC NPI is 1689816001. The provider is registered as an organization entity type.

The provider's business location address is:

215 HIGHWAY 51 S
BROOKHAVEN, MS
ZIP 39601-245
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 3/31/2009 and was last updated on 2/15/2024.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		MISSISSIPPI	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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00306821	MEDICAID	MISSISSIPPI

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: 5/5/2024

NPI Synchronization or Removal

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