Family Health Care Clinic, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Taylorsville, MS. Organization (NPI-2).
NPI number1114248010
StatusActive
Last updated in NPPESJul 6, 2018
Details
- NPI
- 1114248010
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Health Care Clinic, INC
- Organization subpart
- No
- Enumeration date
- Jun 15, 2010
- Last updated
- Jul 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | MS | Yes |
Practice location
122 W Magnolia LnTaylorsville, MS 39168
Phone 601-825-7280 · Fax 601-825-8130
Mailing address
Po Box 24116Jackson, MS 39225-4116
Phone 601-825-7280 · Fax 601-825-8130
Authorized official
Karina Marie Clayton
Chief Financial Officer
6018257280
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