FAMILY HEALTH CARE CLINIC, INC. (NPI# 1588992333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588992333 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CARE CLINIC, INC. |
| Practice Address |
16410 Highway 72 Rogersville AL 35652 |
| Mailing Address |
Po Box 24116 Jackson MS 39225-4116 |
| Practice Telephone | 2562473154 |
| Practice Fax Number | 2562477960 |
| Mailing Telephone | 6018257280 |
| Mailing Fax Number | 6018258130 |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | KARINA MARIE CLAYTON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6018257280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 116364 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644826 | Family Health Care Clinic, Inc. | Clinic/Center | 150 J E Johnson Rd, Prentiss, MS 39474-3101 | 2018-10-04 |
| 1083087985 | Family Health Care Clinic, Inc. | Clinic/Center | 102 Blackmur Dr, Water Valley, MS 38965 | 2015-11-02 |
| 1437412996 | Family Health Care Clinic, Inc. | Clinic/Center | 5096 Highway 49, Piney Woods, MS 39148 | 2012-06-20 |
| 1881827434 | Family Health Care Clinic, Inc. | Clinic/Center | 125 School Rd, Mize Attendance Center, Mize, MS 39116 | 2009-08-31 |
| 1487887022 | Family Health Care Clinic, Inc. | Clinic/Center | 130 Lexie Road, Tylertown, MS 39429 | 2009-08-31 |
| 1801029467 | Family Health Care Clinic, Inc. | Clinic/Center | 125 Carter Street, Calhoun City, MS 38916 | 2009-08-31 |
| 1952534505 | Family Health Care Clinic, Inc. | Clinic/Center | 592 Schoolhouse Rd, Pinola, MS 39149 | 2009-08-31 |
| 1376776930 | Family Health Care Clinic, Inc. | Clinic/Center | 225 Saint Paul Road, Tylertown, MS 39667 | 2009-08-31 |
| 1720211386 | Family Health Care Clinic, Inc. | Clinic/Center | 1823 Highway 24 West, Woodville, MS 39669 | 2009-08-31 |
| 1962635516 | Family Health Care Clinic, Inc. | Clinic/Center | 431 Old Highway 13 S, Columbia, MS 39429 | 2009-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY HEALTH CARE CLINIC, INC. | 4635 Highway 80 E, Pearl, MS 39208-4226 |
| Street Address |
16410 HIGHWAY 72 |
| City | ROGERSVILLE |
| State | AL |
| Zip Code | 35652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760979413 | Dorothy Danielle-maria Wright | Nurse Practitioner | 16410 Highway 72, Rogersville, AL 35652-8117 | 2018-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164030300 | Caleb Jeffery Hodges | Dentist | 16090 Us-72, Rogersville, AL 35652 | 2020-07-14 |
| 1386079739 | Thomas Daniel Eck | Physical Medicine & Rehabilitation | 48 Market Square, Rogersville, AL 35652 | 2013-09-04 |
| 1194909796 | Elgin Quick Med, Inc | Family Medicine | 2850 Hwy 101, Rogersville, AL 35652 | 2007-12-19 |
| 1508938200 | Southern Rural Health Care Consortium | Clinic/Center | 16410 Hwy 72, Rogersville, AL 35652 | 2006-11-15 |
| 1093801136 | Rogersville Emergency Ambulance Unit | Ambulance | 36 Wheeler St, Rogersville, AL 35652 | 2006-10-05 |
| 1073620456 | Freds Stores of Tennessee Inc | Pharmacy | 16100 Hwy 72, Rogersville, AL 35652 | 2006-08-23 |
| 1417990623 | David Wayne Frye | Pharmacist | 1661 Lee Street, Rogersville, AL 35652 | 2006-06-14 |
| 1518922251 | Amanda Tucker Davis | Pharmacist | 1661 Lee St., Rogersville, AL 35652 | 2006-04-18 |
| 1699860247 | Corrina L Williams | Pharmacist | 1661 Lee St, Rogersville, AL 35652 | 2006-10-03 |
| 1073700266 | Southern Rural Health Care Consortium | Family Medicine | 16410 Hwy 72, Rogersville, AL 35652-0000 | 2007-10-02 |
| Find all providers in zip 35652 | ||||
| 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 |
|---|---|---|---|---|
| 1508938200 | Southern Rural Health Care Consortium | Clinic/Center | 16410 Hwy 72, Rogersville, AL 35652 | 2006-11-15 |
| 1679672562 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 4966 Highway 11-w, Rogersville, TN 37857-0850 | 2006-09-21 |
| 1154321966 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 900 W Main St, Rogersville, TN 37857-2448 | 2005-07-22 |
| 1346672995 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2013-08-06 |
| 1083644744 | Cornerstone Care, Inc. | Clinic/Center | 140 Church St, Suite 102, Rogersville, PA 15359-1001 | 2006-07-05 |
| 1013917632 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 4966 Highway 11w, Rogersville, TN 37857-6028 | 2005-07-26 |
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|---|---|---|---|---|
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| 1205460268 | The Capstone Rural Health Center | Clinic/Center | 714 12th St W, Jasper, AL 35501-4519 | 2020-02-28 |
| 1184284986 | Health Services, Inc. | Clinic/Center | 1151 Air Base Blvd Ofc, Montgomery, AL 36108-3103 | 2019-06-14 |
| 1982172367 | Health Services, Inc | Clinic/Center | 3350 S Court St, Montgomery, AL 36105-1606 | 2018-11-05 |
| 1932627858 | Whatley Health Services, Inc. | Clinic/Center | 417 3rd St Se, Aliceville, AL 35442 | 2017-08-30 |
| 1780123372 | Quality of Life Health Services, Inc | Clinic/Center | 404 9th Ave Sw, Lafayette, AL 36862-2806 | 2017-02-16 |
| 1487104691 | Whatley Health Services Inc | Clinic/Center | 142 School Street, Oakman, AL 35579 | 2016-10-12 |
| 1831568237 | Quality of Life Health Services, Inc | Clinic/Center | 1502 11th Ave, Phenix City, AL 36867-4905 | 2015-09-16 |
| 1477939031 | Whatley Health Services, Inc. | Clinic/Center | 3601 Stillman Blvd, Tuscaloosa, AL 35401-2601 | 2015-08-06 |
| Find all providers with the same taxonomy | ||||
| City | ROGERSVILLE |
| Zip Code | 35652 |
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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.