| Family Health Center, Inc | |
|
117 South 11th Avenue Laurel MS 39441-4361 | |
| (601) 425-3033 | |
| (601) 422-0431 |
| Full Name | Family Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 South 11th Avenue, Laurel, Mississippi |
| Authorized Official Name and Position | Rashad N. Ali (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6014253033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center, Inc P.o. Box 4361 Laurel MS 39440 Ph: (601) 425-3033 | Family Health Center, Inc 117 South 11th Avenue Laurel MS 39441-4361 Ph: (601) 425-3033 |
| NPI Number | 1760488357 |
|---|---|
| Provider Enumeration Date | 06/28/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9638163348 |
|---|---|
| Medicare Enrollment ID | O20040414000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760488357 | NPI | - | NPPES |
| 9010072 | Medicaid | MS | |
| 09010072 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Mississippi) | Primary |
| Provider Name | Terry A Meadows |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487866158 PECOS PAC ID: 9133173248 Enrollment ID: I20050310000584 |
| Provider Name | Carolyn Schrader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912015298 PECOS PAC ID: 7416977525 Enrollment ID: I20051205000559 |
| Provider Name | Burgese K Turel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518159391 PECOS PAC ID: 6901980309 Enrollment ID: I20080225000108 |
| Provider Name | Rashad N Ali |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649297201 PECOS PAC ID: 5597848234 Enrollment ID: I20080304000652 |
| Provider Name | Dixon Julian Wise |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265719959 PECOS PAC ID: 6305011891 Enrollment ID: I20111212000670 |
| Provider Name | Ladonna M Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780927442 PECOS PAC ID: 8729220504 Enrollment ID: I20130807000089 |
| Provider Name | Felicia Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497187512 PECOS PAC ID: 5193953883 Enrollment ID: I20131231001007 |
| Provider Name | Casey A Herrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245648104 PECOS PAC ID: 1052633021 Enrollment ID: I20141202000275 |
| Provider Name | Lashundra Shanett Speights |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548656614 PECOS PAC ID: 0648590323 Enrollment ID: I20150520001233 |
| Provider Name | Sheree Lamara Conley-donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649666744 PECOS PAC ID: 5193045870 Enrollment ID: I20150520001251 |
| Provider Name | Scott Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386197697 PECOS PAC ID: 5597041707 Enrollment ID: I20170424000568 |
| Provider Name | Bernard G. De Asis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275539017 PECOS PAC ID: 3678830023 Enrollment ID: I20171120003205 |
| Provider Name | Shelly G Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083170559 PECOS PAC ID: 2163763103 Enrollment ID: I20190401001576 |
| Provider Name | Sarah N Thames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093373110 PECOS PAC ID: 6204260268 Enrollment ID: I20191227001254 |
| Provider Name | Whitney Hoskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144885195 PECOS PAC ID: 0547694523 Enrollment ID: I20191227001834 |
| Provider Name | Charlotte Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821650045 PECOS PAC ID: 9830511849 Enrollment ID: I20200622000192 |
| Provider Name | Fawwaz F Alotaibi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1669902615 PECOS PAC ID: 0547682551 Enrollment ID: I20200622000304 |
| Provider Name | Jessica Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508406802 PECOS PAC ID: 0648694604 Enrollment ID: I20200723000453 |
| Provider Name | Adaku I Nwosu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649756461 PECOS PAC ID: 8022416940 Enrollment ID: I20211007000978 |
| Provider Name | Lawanda Nicole Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518571900 PECOS PAC ID: 5799183489 Enrollment ID: I20211011001972 |
| Provider Name | Tramain Kirksey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053061424 PECOS PAC ID: 2264898675 Enrollment ID: I20230509002383 |
Sc Wound Care & Hyperbaric Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4739 Fax: 601-426-4739 | |
Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-428-6561 | |
Family Health Center Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-422-0431 | |
Jefferson Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Immediate Care - Laurel Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2313 Highway 15 N, Laurel, MS 39440 Phone: 601-649-2775 Fax: 601-649-2686 | |
South Central Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
South Central Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 |