G A Carmichael Family Health Center Inc is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Vaughan, Mississippi. The current practice location for G A Carmichael Family Health Center Inc is 3439 Vaughan Rd, Vaughan, Mississippi. For appointments, you can reach them via phone at
(662) 673-0373. The mailing address for G A Carmichael Family Health Center Inc is Po Box 588, Canton, Mississippi and phone number is (601) 859-5213.
G A Carmichael Family Health Center Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1033276027. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(662) 673-0373.
Dental Care Clinic Profile
| Full Name | G A Carmichael Family Health Center Inc |
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| Speciality | Clinic/Center |
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| Location | 3439 Vaughan Rd, Vaughan, Mississippi |
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| Authorized Official Name and Position | James L. Coleman (CEO) |
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| Authorized Official Contact | 6018595213 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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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
3439 Vaughan Rd
Vaughan
MS 39179
Ph: (662) 673-0373 |
NPI Details:
| NPI Number | 1033276027 |
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| Provider Enumeration Date | 01/02/2007 |
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| Last Update Date | 06/25/2018 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2567371032 |
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| Medicare Enrollment ID | O20030305000021 |
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Medical Identifiers
Medical identifiers for G A Carmichael Family Health Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033276027 | NPI | - | NPPES |
| 05927554 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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