| Byhalia Family Health Center - Dental | |
|
12 East Brunswick Byhalia MS 38611 | |
| (662) 838-2163 | |
| (662) 838-7944 |
| Full Name | Byhalia Family Health Center - Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 12 East Brunswick, Byhalia, Mississippi |
| Authorized Official Name and Position | Marjorie P. Mckinney (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6628382163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Byhalia Family Health Center - Dental 12 East Brunswick Ave. P.o. Box 698 Byhalia MS 38611 Ph: (662) 838-2163 | Byhalia Family Health Center - Dental 12 East Brunswick Byhalia MS 38611 Ph: (662) 838-2163 |
| NPI Number | 1619025269 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619025269 | NPI | - | NPPES |
| 9011641 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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