Family Health Care Clinic, Inc. | |
325 Kokomo Rd Kokomo MS 39643 | |
(601) 825-7280 | |
(601) 825-8130 |
Full Name | Family Health Care Clinic, Inc. |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 325 Kokomo Rd, Kokomo, 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 |
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Family Health Care Clinic, Inc. Po Box 24116 Jackson MS 39225-4116 Ph: (601) 825-7280 | Family Health Care Clinic, Inc. 325 Kokomo Rd Kokomo MS 39643 Ph: (601) 825-7280 |
NPI Number | 1538392634 |
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Provider Enumeration Date | 08/24/2009 |
Last Update Date | 07/03/2018 |
Identifier | Type | State | Issuer |
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1538392634 | NPI | - | NPPES |
04978863 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |