G A CARMICHAEL FAMILY HEALTH CENTER INC NPI 1932266855

NPI Information

NPI: 1932266855
Provider Name: G A CARMICHAEL FAMILY HEALTH CENTER INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 25D0991131

Address:
1825 DR MARTIN LUTHER KING JR DR
YAZOO CITY, MS
ZIP 39194
Phone: (662) 746-1514
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G A CARMICHAEL FAMILY HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Yazoo City, MS. G A CARMICHAEL FAMILY HEALTH CENTER INC NPI is 1932266855. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1825 DR MARTIN LUTHER KING JR DR
YAZOO CITY, MS
ZIP 39194
Phone: (662) 746-1514
Fax: (601) 859-8771

The provider's authorized official is James L. Coleman .
The authorized official title is Ceo and has the following contact phone number (601) 859-5213.

The CLIA number assigned to this NPI record is 25D0991131 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/2/2007 and was last updated on 6/25/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	122300000X	Dentist		No
2	207Q00000X	Family Medicine		No
3	208000000X	Pediatrics		No
4	363L00000X	Nurse Practitioner		No
5	261QF0400X	Clinic/Center	Federally 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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	09015903	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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