| G A Carmichael Family Health Center Inc | |
|
1547 Jerry Clower Blvd Yazoo City MS 39194 | |
| (662) 746-6532 | |
| (601) 859-8771 |
| Full Name | G A Carmichael Family Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1547 Jerry Clower Blvd, Yazoo City, Mississippi |
| Authorized Official Name and Position | James L. Coleman (CEO) |
| 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 Po Box 588 Canton MS 39046-0588 Ph: (601) 859-5213 | G A Carmichael Family Health Center Inc 1547 Jerry Clower Blvd Yazoo City MS 39194 Ph: (662) 746-6532 |
| NPI Number | 1508922675 |
|---|---|
| Provider Enumeration Date | 12/30/2006 |
| Last Update Date | 06/25/2018 |
| Medicare PECOS PAC ID | 2567371032 |
|---|---|
| Medicare Enrollment ID | O20101213000979 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508922675 | NPI | - | NPPES |
| 09011452 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
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