G.A. Carmichael Family Health Center, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Greenwood, MS. Organization (NPI-2).
NPI number1982304234
StatusActive
Last updated in NPPESMar 6, 2023
Details
- NPI
- 1982304234
- Entity type
- Organization (NPI-2)
- Legal business name
- G.A. Carmichael Family Health Center, INC.
- Organization subpart
- No
- Enumeration date
- Mar 6, 2023
- Certification date
- Mar 6, 2023
- Last updated
- Mar 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
309 W Church St Unit BGreenwood, MS 38930-4305
Phone 662-219-2903
Mailing address
1668 W Peace StCanton, MS 39046-5332
Phone 601-859-5213 · Fax 601-859-8771
Authorized official
Joseph Davis
Coo
6018595213
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