| Family Health Care Clinic, Inc | |
|
122 W Magnolia Ln Taylorsville MS 39168 | |
| (601) 825-7280 | |
| (601) 825-8130 |
| Full Name | Family Health Care Clinic, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 122 W Magnolia Ln, Taylorsville, 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 |
|---|---|
| Family Health Care Clinic, Inc Po Box 24116 Jackson MS 39225-4116 Ph: (601) 825-7280 | Family Health Care Clinic, Inc 122 W Magnolia Ln Taylorsville MS 39168 Ph: (601) 825-7280 |
| NPI Number | 1114248010 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 07/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114248010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
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Cch Clinic Taylorsville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Eaton St, Taylorsville, MS 39168 Phone: 601-765-6711 Fax: 601-698-0112 | |
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