| Family Care Clinic | |
|
302 Bay Avenue Richton MS 39476-1650 | |
| (601) 788-6321 | |
| (601) 788-6362 |
| Full Name | Family Care Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 302 Bay Avenue, Richton, Mississippi |
| Authorized Official Name and Position | John M Beaman (OWNER) |
| Authorized Official Contact | 6017886321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Clinic Po Box 1650 Richton MS 39476-1650 Ph: (601) 788-6321 | Family Care Clinic 302 Bay Avenue Richton MS 39476-1650 Ph: (601) 788-6321 |
| NPI Number | 1215172101 |
|---|---|
| Provider Enumeration Date | 12/08/2008 |
| Last Update Date | 12/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215172101 | NPI | - | NPPES |
| 00010503 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 10061 (Mississippi) | Primary |
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Hattiesburg Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201a Bay Ave, Richton, MS 39476 Phone: 601-583-1559 Fax: 601-583-1573 | |
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