| G A Carmichael Family Health Center | |
|
1668 W Peace St Canton MS 39046 | |
| (601) 859-5213 | |
| (601) 859-8771 |
| Full Name | G A Carmichael Family Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1668 W Peace St, Canton, Mississippi |
| Authorized Official Name and Position | James L. Coleman (CEO) |
| Authorized Official Contact | 6018595213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G A Carmichael Family Health Center Po Box 588 Canton MS 39046-0588 Ph: (601) 859-5213 | G A Carmichael Family Health Center 1668 W Peace St Canton MS 39046 Ph: (601) 859-5213 |
| NPI Number | 1255498044 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255498044 | NPI | - | NPPES |
| 09013112 | Medicaid | MS | |
| 25-1806 | Other | MS | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
G A Carmichael Family Health Center Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 364 Martin Luther King Dr, Canton, MS 39046 Phone: 601-859-3578 Fax: 601-859-8771 | |
Goodloe Dental, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 W Peace St, Canton, MS 39046 Phone: 601-859-9595 Fax: 601-859-9395 | |
G A Carmichael Family Health Center Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 E Academy St, Canton, MS 39046 Phone: 601-859-9475 Fax: 601-859-8771 | |
Smilebuilders Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1863 Highway 43 S Ste A, Canton, MS 39046 Phone: 601-859-7050 Fax: 601-859-7062 | |
Ashley D. Hollowell, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 E Peace St, Canton, MS 39046 Phone: 601-859-2271 Fax: 601-859-2861 | |
Lampkin And Nelson Family Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 Hart Street, Canton, MS 39046 Phone: 601-859-4184 |