Family Health Care Clinic, Inc. | |
100 Brooks Avenue Pelahatchie MS 39145 | |
(601) 854-6805 | |
(601) 854-6813 |
Full Name | Family Health Care Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 100 Brooks Avenue, Pelahatchie, 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. 100 Brooks Avenue Pelahatchie MS 39145 Ph: (601) 854-6805 |
NPI Number | 1467478743 |
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Provider Enumeration Date | 07/13/2006 |
Last Update Date | 04/16/2020 |
Medicare PECOS PAC ID | 5395656946 |
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Medicare Enrollment ID | O20080303000387 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467478743 | NPI | - | NPPES |
09014677 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Care Plus Pelahatchie Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Highway 80 East, Pelahatchie, MS 39145 Phone: 601-854-8002 Fax: 601-854-7333 | |
Pelahatchie Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 Second St, Pelahatchie, MS 39145 Phone: 601-854-8002 |