G A Carmichael Family Health Center, Inc | |
200 Grand Blvd Greenwood MS 38930-3504 | |
(601) 859-5213 | |
(601) 859-8771 |
Full Name | G A Carmichael Family Health Center, Inc |
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Speciality | Clinic/Center |
Location | 200 Grand Blvd, Greenwood, Mississippi |
Authorized Official Name and Position | Joseph Davis (COO) |
Authorized Official Contact | 6018595213 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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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 200 Grand Blvd Greenwood MS 38930-3504 Ph: (601) 859-5213 |
NPI Number | 1679298939 |
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Provider Enumeration Date | 10/10/2022 |
Last Update Date | 10/10/2022 |
Medicare PECOS PAC ID | 2567371032 |
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Medicare Enrollment ID | O20240203000243 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679298939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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