| Family Health Care Clinic, Inc. | |
| 
					325 Kokomo Rd Kokomo MS 39643  | |
| (601) 825-7280 | |
| (601) 825-8130 | 
| Full Name | Family Health Care Clinic, Inc. | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 325 Kokomo Rd, Kokomo, Mississippi | 
| Authorized Official Name and Position | Karina Marie Clayton (CHIEF FINANCIAL OFFICER) | 
| Authorized Official Contact | 6018257280 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Family Health Care Clinic, Inc. Po Box 24116 Jackson MS 39225-4116 Ph: (601) 825-7280  | Family Health Care Clinic, Inc. 325 Kokomo Rd Kokomo MS 39643 Ph: (601) 825-7280  | 
| NPI Number | 1538392634 | 
|---|---|
| Provider Enumeration Date | 08/24/2009 | 
| Last Update Date | 07/03/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538392634 | NPI | - | NPPES | 
| 04978863 | Medicaid | MS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |