| Family Health Care Clinic, Inc. | |
|
262 Pine St N Bude MS 39630 | |
| (601) 825-7280 | |
| (601) 825-8130 |
| Full Name | Family Health Care Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 262 Pine St N, Bude, Mississippi |
| Authorized Official Name and Position | Karina Marie Clayton (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6018257280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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. 262 Pine St N Bude MS 39630 Ph: (601) 825-7280 |
| NPI Number | 1104059146 |
|---|---|
| Provider Enumeration Date | 08/25/2009 |
| Last Update Date | 07/03/2018 |
| Medicare PECOS PAC ID | 5395656946 |
|---|---|
| Medicare Enrollment ID | O20090929000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104059146 | NPI | - | NPPES |
| 03150760 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Family Medical Group Of Bude Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 136 Main St N, Bude, MS 39630 Phone: 601-384-8143 Fax: 601-384-3878 | |
Franklin County Memorial Hospital Dba Bude Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Main St N, Bude, MS 39630 Phone: 601-384-8100 Fax: 601-384-4100 | |
Bude Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Main St N, Bude, MS 39630 Phone: 601-384-2394 Fax: 601-384-4199 |