Family Health Care Clinic, Inc. | |
225 Saint Paul Road Tylertown MS 39667 | |
(601) 825-7280 | |
(601) 825-8130 |
Full Name | Family Health Care Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 225 Saint Paul Road, Tylertown, 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 |
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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. 225 Saint Paul Road Tylertown MS 39667 Ph: (601) 825-7280 |
NPI Number | 1376776930 |
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Provider Enumeration Date | 08/31/2009 |
Last Update Date | 07/04/2018 |
Medicare PECOS PAC ID | 5395656946 |
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Medicare Enrollment ID | O20090917000261 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376776930 | NPI | - | NPPES |
00683565 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
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Tylertown Surgical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-4961 Fax: 601-876-9172 | |
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Harish M. Madnani M.d.p.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Hospital Dr, B, Tylertown, MS 39667 Phone: 601-876-6006 Fax: 601-876-3603 | |
Walthall Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-2122 Fax: 601-222-0432 | |
Blackwell's Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Ball Ave, Tylertown, MS 39667 Phone: 601-303-8264 |