Family Health Care Clinic, Inc. | |
910 Second Street Prentiss MS 39474 | |
(601) 792-2078 | |
(601) 792-8211 |
Full Name | Family Health Care Clinic, Inc. |
---|---|
Speciality | Clinic/Center |
Location | 910 Second Street, Prentiss, 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. 910 Second Street Prentiss MS 39474 Ph: (601) 792-2078 |
NPI Number | 1144246398 |
---|---|
Provider Enumeration Date | 07/14/2006 |
Last Update Date | 04/16/2020 |
Medicare PECOS PAC ID | 5395656946 |
---|---|
Medicare Enrollment ID | O20080303000381 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144246398 | NPI | - | NPPES |
09014311 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Jefferson Davis Community Hospital Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1014 Rose St, Suite A, Prentiss, MS 39474 Phone: 601-792-4276 Fax: 601-792-2947 | |
Jefferson Davis Community Hospital Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Berry Street, Prentiss, MS 39474 Phone: 601-792-8432 Fax: 601-792-8453 | |
Prentiss Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1014 Rose Street, Prentiss, MS 39474 Phone: 601-792-2071 Fax: 601-792-8134 | |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 J E Johnson Rd, Prentiss, MS 39474 Phone: 601-825-7280 Fax: 601-825-8130 | |
Jefferson Davis Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1014 Rose St, Suite A, Prentiss, MS 39474 Phone: 601-792-2202 Fax: 601-792-2345 | |
Ware Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 972 Columbia Ave, Prentiss, MS 39474 Phone: 601-792-5343 |