Family Health Care Clinic, Inc. | |
592 Schoolhouse Rd Pinola MS 39149 | |
(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 | 592 Schoolhouse Rd, Pinola, 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. 592 Schoolhouse Rd Pinola MS 39149 Ph: (601) 825-7280 |
NPI Number | 1952534505 |
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Provider Enumeration Date | 08/31/2009 |
Last Update Date | 04/16/2020 |
Identifier | Type | State | Issuer |
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1952534505 | NPI | - | NPPES |
08507298 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |