| Family Health Care Clinic, Inc. | |
|
401 Main St N Mendenhall MS 39114 | |
| (601) 825-7280 | |
| (601) 825-8130 |
| Full Name | Family Health Care Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 Main St N, Mendenhall, Mississippi |
| Authorized Official Name and Position | Karina Marie Clayton (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6018257280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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. 401 Main St N Mendenhall MS 39114 Ph: (601) 825-7280 |
| NPI Number | 1982620274 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 07/03/2018 |
| Medicare PECOS PAC ID | 5395656946 |
|---|---|
| Medicare Enrollment ID | O20080303000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982620274 | NPI | - | NPPES |
| 09014308 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Mendenhall Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3661 Simpson Highway 49, Mendenhall, MS 39114 Phone: 601-292-9350 Fax: 601-292-9351 | |
Simpson Community Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1842 Simpson Highway 149, Mendenhall, MS 39114 Phone: 601-847-7130 Fax: 601-847-7104 | |
121 Medical Place, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 820 Mangum Ave, Mendenhall, MS 39114 Phone: 601-906-1897 | |
Simpson Community Healthcare, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1827c Simpson Highway 149, Mendenhall, MS 39114 Phone: 601-847-2221 | |
Simpson Community Healthcare Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1827a Simpson Highway 149, Mendenhall, MS 39114 Phone: 601-847-7130 | |
Holbrook Family Medical Practice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Oak St, Mendenhall, MS 39114 Phone: 601-847-3712 |