| Family Health Care Clinic, Inc. | |
|
113 Enoch St Tylertown MS 39667 | |
| (601) 825-7280 | |
| (601) 825-8130 |
| Full Name | Family Health Care Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 113 Enoch St, 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 |
|---|---|
| Family Health Care Clinic, Inc. Po Box 24116 Jackson MS 39225-4116 Ph: (601) 825-7280 | Family Health Care Clinic, Inc. 113 Enoch St Tylertown MS 39667 Ph: (601) 825-7280 |
| NPI Number | 1427221290 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 04/16/2020 |
| Medicare PECOS PAC ID | 5395656946 |
|---|---|
| Medicare Enrollment ID | O20080916000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427221290 | NPI | - | NPPES |
| 02357025 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Medicine Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-5835 Fax: 601-876-5295 | |
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 | |
Tylertown Internal Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-5303 | |
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 | |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Saint Paul Road, Tylertown, MS 39667 Phone: 601-825-7280 Fax: 601-825-8130 |