| First Choice Family Healthcare Clinic Llc | |
|
119 S Oak Ste 2 Raymond MS 39154-4205 | |
| (601) 526-9001 | |
| (601) 526-9118 |
| Full Name | First Choice Family Healthcare Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 119 S Oak Ste 2, Raymond, Mississippi |
| Authorized Official Name and Position | Morlyn Russell (DNP/COO) |
| Authorized Official Contact | 6015269001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Choice Family Healthcare Clinic Llc Po Box 1473 Raymond MS 39154-1473 Ph: (601) 526-9001 | First Choice Family Healthcare Clinic Llc 119 S Oak Ste 2 Raymond MS 39154-4205 Ph: (601) 526-9001 |
| NPI Number | 1548720568 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 09/30/2022 |
| Medicare PECOS PAC ID | 1557795416 |
|---|---|
| Medicare Enrollment ID | O20191231000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548720568 | NPI | - | NPPES |
| 1548720568 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Morlyn Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992070825 PECOS PAC ID: 3870754146 Enrollment ID: I20120412000595 |
| Provider Name | Dodie D Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124522909 PECOS PAC ID: 0143656298 Enrollment ID: I20200210000665 |
Central Mississippi Civic Improvement Association, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 417 Palestine St, Raymond, MS 39154 Phone: 601-362-5321 | |
Central Mississippi Civic Improvement Association, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14050 Highway 18, Raymond, MS 39154 Phone: 601-362-5321 Fax: 601-364-5159 | |
Family First Heatlhcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 South Oak Street, Ste 2, Raymond, MS 39154 Phone: 601-709-2300 Fax: 601-709-2305 | |
Central Mississippi Civic Improvement Association, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 Port Gibson St, Raymond, MS 39154 Phone: 601-362-5321 Fax: 601-364-5159 | |
Choice Wound Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 S Oak Ste 2a, Raymond, MS 39154 Phone: 769-206-1458 | |
Minor Med Care, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 W Main St, Raymond, MS 39154 Phone: 601-372-1117 Fax: 601-373-3004 |