Family Health Care Clinic, Inc. | |
430 W Broad St Monticello MS 39654-7723 | |
(601) 587-4492 | |
(601) 587-7138 |
Full Name | Family Health Care Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 430 W Broad St, Monticello, Mississippi |
Authorized Official Name and Position | Margaret A Gray (PRESIDENT & CEO) |
Authorized Official Contact | 6018257280 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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. 430 W Broad St Monticello MS 39654-7723 Ph: (601) 587-4492 |
NPI Number | 1093731234 |
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Provider Enumeration Date | 07/14/2006 |
Last Update Date | 07/28/2022 |
Medicare PECOS PAC ID | 5395656946 |
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Medicare Enrollment ID | O20080303000714 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093731234 | NPI | - | NPPES |
09014309 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Bonita C. Musial Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Main Street, Suite D, Monticello, MS 39654 Phone: 601-587-2785 Fax: 601-587-7799 | |
Lawrence County Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1167 E Broad St, Monticello, MS 39654 Phone: 601-587-1433 Fax: 601-587-1625 | |
Monticello Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Courthouse Sq, Monticello, MS 39654 Phone: 601-587-0209 Fax: 601-587-0436 | |
James W Stephens Md Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Courthouse Sq, Monticello, MS 39654 Phone: 601-587-0209 Fax: 601-587-0436 | |
Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 713 Watts St, Monticello, MS 39654 Phone: 601-587-7795 | |
Southwest Mississippi Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 F E Sellers Hwy, Monticello, MS 39654 Phone: 601-587-7405 Fax: 601-587-7407 |