| Family Health Care Clinic, Inc. | |
|
1551 W Government St Brandon MS 39042 | |
| (601) 825-3163 | |
| (601) 825-7893 |
| Full Name | Family Health Care Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1551 W Government St, Brandon, Mississippi |
| Authorized Official Name and Position | Karina Marie Clayton (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6018257280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care Clinic, Inc. Po Box 24116 Jackson MS 39225-4116 Ph: (601) 825-7280 | Family Health Care Clinic, Inc. 1551 W Government St Brandon MS 39042 Ph: (601) 825-3163 |
| NPI Number | 1164607552 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 07/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164607552 | NPI | - | NPPES |
| 09014312 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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