| Family Health Care Clinic, Inc. | |
|
1823 Highway 24 West Woodville MS 39669 | |
| (601) 825-7280 | |
| (601) 825-8130 |
| Full Name | Family Health Care Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1823 Highway 24 West, Woodville, 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. 1823 Highway 24 West Woodville MS 39669 Ph: (601) 825-7280 |
| NPI Number | 1720211386 |
|---|---|
| Provider Enumeration Date | 08/31/2009 |
| Last Update Date | 07/03/2018 |
| Medicare PECOS PAC ID | 5395656946 |
|---|---|
| Medicare Enrollment ID | O20090917000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720211386 | NPI | - | NPPES |
| 00503765 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Field Memorial Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 451 Bank St, Woodville, MS 39669 Phone: 601-888-3421 | |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1495 Us Highway 61 S, Woodville, MS 39669 Phone: 601-825-7280 Fax: 601-825-8130 | |
Field Memorial Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 451 Bank St, Woodville, MS 39669 Phone: 601-888-3421 |