FAMILY HEALTH CENTER INC (NPI# 1083255087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083255087 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTER INC |
| Practice Address |
5192 Highway 11 N Ellisville MS 39437-5050 |
| Mailing Address |
P O Box 4361 117 South 11th Avenue Laurel MS 39441 |
| Practice Telephone | 6014253033 |
| Practice Fax Number | 6014286561 |
| Mailing Telephone | 6014253033 |
| Mailing Fax Number | 6014286561 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | CONEY LEE JOHNSON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6014253033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790192946 | Family Health Center Inc | Clinic/Center | 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 | 2014-07-21 |
| 1811065576 | Family Health Center Inc | Clinic/Center | 117 W Paterson Street, Kalamazoo, MI 49007-2557 | 2006-12-01 |
| 1487695813 | Family Health Center Inc | Pharmacy | 117 S 11th Ave, Laurel, MS 39440-4312 | 2006-06-09 |
| Street Address |
5192 HIGHWAY 11 N |
| City | ELLISVILLE |
| State | MS |
| Zip Code | 39437-5050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780692186 | Rance Scott Ratcliff Jr. | Social Worker | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2006-08-03 |
| 1427575836 | Wanda Parker | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-25 |
| 1720504004 | Audrey Mccullum | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-17 |
| 1821514662 | Tina Hawkins | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-14 |
| 1407372261 | Tracie Miller | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-14 |
| 1871017046 | Lasha Bayless | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-07-31 |
| 1790209971 | Pam Dennis | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-07-31 |
| 1780038380 | Alisia Hansell | Social Worker | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2016-04-20 |
| 1376942441 | Debra Long | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2014-08-14 |
| 1992903181 | Heather Johnson | Social Worker | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227759 | Courtney J. Sims | Nurse Practitioner | 80 Hal Crocker Road, Ellisville, MS 39437 | 2020-02-19 |
| 1891228581 | Magnolia Gardens Assisted Living | Assisted Living Facility | 303 East Ivy, Ellisville, MS 39437 | 2017-04-10 |
| 1972851814 | Dental Group of Ellisville, Pllc | Dentist | 97 Hal Crocker Road, Ellisville, MS 39437 | 2012-08-27 |
| 1891920518 | Amy E Young | Speech-Language Pathologist | 471 Hwy 590, Ellisville, MS 39437 | 2009-05-26 |
| 1053486852 | Natalia Angelia Stevenson | Nurse Practitioner | Ellisville State School, 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-11-21 |
| 1831275189 | Womens Pavilion of South Mississippi, Pllc | Obstetrics & Gynecology | 1242 Hwy 29 North, Ellisville, MS 39437 | 2006-10-30 |
| 1861578635 | Jennifer Reeder Mascagni | Nurse Practitioner | 1203 Ave B Ste 200, Ellisville, MS 39437 | 2006-10-27 |
| 1851499982 | Kathleen Frances Mccoy | Physical Therapist | 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-09-20 |
| 1861498610 | Patricia A. Tibbs | Pediatrics | 1203 Avenue B, Ellisville, MS 39437 | 2005-06-27 |
| 1700954765 | Shelia Dianne Bradford | Nurse Practitioner | 1203 Avenue B, Ellisville, MS 39437 | 2006-11-30 |
| Find all providers in zip 39437 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193722 | Coastal Family Health Center, Inc | Clinic/Center | 12424 Highway 57, Vancleave, MS 39565-8608 | 2020-10-29 |
| 1992305445 | Coastal Family Health Center, Inc | Clinic/Center | 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 | 2020-10-26 |
| 1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
| 1033755343 | Access Family Health Services, Inc. | Clinic/Center | 179 Mullen Ave, Nettleton, MS 38858-6033 | 2019-11-21 |
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 2019-08-14 |
| 1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 2019-08-14 |
| 1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
| 1750937959 | Delta Health Center, Inc | Clinic/Center | 212 E Claiborne St, Sunflower, MS 38778-9640 | 2019-08-13 |
| 1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
| City | ELLISVILLE |
| Zip Code | 39437 |
Please comment or provide details below to improve the information on FAMILY HEALTH CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.