| G A Carmichael Family Health Center, Inc. | |
|
303 W Franklin St Carthage MS 39051-3703 | |
| (601) 859-5213 | |
| (601) 859-8771 |
| Full Name | G A Carmichael Family Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 303 W Franklin St, Carthage, Mississippi |
| Authorized Official Name and Position | Joseph Davis (CHIEF OPERATION OFFICER) |
| Authorized Official Contact | 6018595213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G A Carmichael Family Health Center, Inc. 1668 W Peace St Canton MS 39046-5332 Ph: (601) 859-5213 | G A Carmichael Family Health Center, Inc. 303 W Franklin St Carthage MS 39051-3703 Ph: (601) 859-5213 |
| NPI Number | 1043974033 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 10/26/2021 |
| Medicare PECOS PAC ID | 2567371032 |
|---|---|
| Medicare Enrollment ID | O20220211001342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043974033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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