FAMILY CARE CLINIC (NPI# 1215172101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215172101 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE CLINIC |
| Practice Address |
302 Bay Avenue Richton MS 39476-1650 |
| Mailing Address |
Po Box 1650 Richton MS 39476-1650 |
| Practice Telephone | 6017886321 |
| Practice Fax Number | 6017886362 |
| Mailing Telephone | 6017886321 |
| Mailing Fax Number | 6017886362 |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |
| Authorized Official Name | DR. JOHN M BEAMAN (OWNER) |
| Authorized Official Telephone | 6017886321 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
10061 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00010503 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619355807 | Family Care Clinic | Clinic/Center | 1405 S 8th Ave Ste 102, Sterling, CO 80751-4560 | 2015-05-08 |
| 1255738001 | Family Care Clinic | Clinic/Center | 102 Hays Ave, Sterling, CO 80751-2866 | 2014-11-21 |
| 1902118011 | Family Care Clinic | Clinic/Center | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2010-07-06 |
| 1821329798 | Family Care Clinic | Clinic/Center | 900 Cedar St, Julesburg, CO 80737-1121 | 2010-01-16 |
| 1770817413 | Family Care Clinic | Family Medicine | 8050 W Rifleman St Ste 100, Boise, ID 83704-9000 | 2009-09-29 |
| 1871742346 | Family Care Clinic | Clinic/Center | 645 Osage St, Sidney, NE 69162-1714 | 2008-09-09 |
| 1487801544 | Family Care Clinic | Clinic/Center | 1405 S 8th Ave, Suite 101, Sterling, CO 80751-4563 | 2008-08-20 |
| 1437306677 | Family Care Clinic | Clinic/Center | 1405 S 8th Ave, Suite 105, Sterling, CO 80751-4563 | 2008-08-19 |
| 1114199353 | Family Care Clinic | Internal Medicine | 4506 Briarwood Ave, Midland, TX 79707-2642 | 2008-03-27 |
| 1265469514 | Family Care Clinic | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2006-06-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FAMILY CARE CLINIC | 1730 Se 96th Avenue, Portland, OR 97216 |
| System for Award Management (SAM) Entities | FAMILY CARE CLINIC OF HENRYETTA | 2401 W Main St, Henryetta, OK 74437-3893 |
| Street Address |
302 BAY AVENUE |
| City | RICHTON |
| State | MS |
| Zip Code | 39476-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083255632 | Julie Pace | Dietitian, Registered | 406 S Front Street, Richton, MS 39476 | 2019-10-04 |
| 1518404136 | Mary Mcswain | Registered Nurse | 36a Amos Mcswain Rd, Richton, MS 39476 | 2017-01-20 |
| 1558770784 | Tylinda Cotton | Registered Nurse | 91180 Hwy 42 West, Richton, MS 39476 | 2014-08-13 |
| 1689010209 | Par Medical Inc | Durable Medical Equipment & Medical Supplies | 156 Apple Avenue., Richton, MS 39476 | 2013-05-22 |
| 1164734109 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 403 N Front St, Richton, MS 39476 | 2010-07-07 |
| 1649405911 | Greene Area Medical Extenders, Inc | Clinic/Center | 37765 Highway 63n, Richton, MS 39476 | 2009-05-15 |
| 1851433585 | James Michael Pace | Family Medicine | 406 South Front Street, Richton, MS 39476 | 2007-02-12 |
| 1306931431 | Coastal Family Health Center Inc | Clinic/Center | 39455 Highway 63 North, Richton, MS 39476 | 2006-10-04 |
| 1942233283 | Hattiesburg Clinic, Pa | Clinic/Center | 303 Red Bud Avenue, Richton, MS 39476 | 2006-07-09 |
| 1518913060 | Patricia Pearce Dykes | Nurse Practitioner | 210 Bay Ave.l, Richton, MS 39476 | 2006-05-26 |
| Find all providers in zip 39476 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1134759780 | Family First Clinic of Hernando, Limited | Clinic/Center | 2416 Mount Pleasant Rd, Hernando, MS 38632-2001 | 2020-01-23 |
| 1720640899 | Home In The Woods Healthcare Clinic, LLC | Clinic/Center | 6572 County Road 514, Itta Bena, MS 38941-2746 | 2019-06-28 |
| 1366003436 | Blackwell's Family Medicine LLC | Clinic/Center | 107 Ball Ave, Tylertown, MS 39667-2101 | 2019-06-27 |
| 1710545488 | Primary and Behavioral Healthcare Services, Pa | Clinic/Center | 717 E. Fortification St., Jackson, MS 39202-2402 | 2019-05-29 |
| 1720559354 | Golden Years Geriatrics Inc. | Clinic/Center | 1233 County Road 108, New Albany, MS 38652-9787 | 2018-12-07 |
| 1316421373 | Children's International, LLC | Clinic/Center | 2003 Wildwood Rd, Picayune, MS 39466-2178 | 2018-09-17 |
| 1124505912 | Thaxton Family Medical Clinic LLC | Clinic/Center | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2018-07-24 |
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
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| 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.