FAMILY HEALTH CARE CLINIC, INC. (NPI# 1730312745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730312745 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CARE CLINIC, INC. |
| Practice Address |
216 Marengo St Suite A Florence AL 35630 |
| Mailing Address |
Po Box 24116 Jackson MS 39225-4116 |
| Practice Telephone | 6018257280 |
| Practice Fax Number | 6018258130 |
| Mailing Telephone | 6018257280 |
| Mailing Fax Number | 6018258130 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2018-07-03 |
| 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 | 116879 | 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 |
| 1588992333 | Family Health Care Clinic, Inc. | Clinic/Center | 16410 Highway 72, Rogersville, AL 35652 | 2009-12-04 |
| 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 |
| 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 |
216 MARENGO ST SUITE A |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419034 | American Homepatient, Inc. | Durable Medical Equipment & Medical Supplies | 216 Marengo St, Suite A, Florence, AL 35630-6012 | 2005-07-05 |
| 1386981322 | Deborah Leann Condon | Nurse Practitioner | 216 Marengo St, Florence, AL 35630-6012 | 2013-01-10 |
| 1700981818 | Patricia L Auxier | Internal Medicine | 216 Marengo St, Suite B, Florence, AL 35630-6012 | 2006-09-13 |
| 1588609960 | Scott Edward Dorin | Ophthalmology | 216 Marengo St, Unit K, Florence, AL 35630-6012 | 2006-06-18 |
| 1902849797 | Ann Bennett | Dermatology | 216 Marengo St, Suite D, Florence, AL 35630-6012 | 2006-06-13 |
| 1942278742 | James E Mallette Jr. | Specialist | 216 Marengo St, Suite H, Florence, AL 35630-6012 | 2006-03-09 |
| 1811965718 | James E Mallette IIi | Specialist | 216 Marengo St, Suite H, Florence, AL 35630-6012 | 2006-03-08 |
| 1578531448 | Tri-cities Allergy Clinic | Specialist | 216 Marengo St, Suite H, Florence, AL 35630-6012 | 2006-03-08 |
| 1891779294 | Mary Pamela Jennings | Nurse Practitioner | 216 Marengo St, Suite A, Florence, AL 35630-6012 | 2005-11-30 |
| 1124009139 | David L Boyer | Anesthesiology | 216 Marengo St, Suite C, Florence, AL 35630-6012 | 2005-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1720428204 | Hopehealth, Inc | Clinic/Center | 506 E Cheves St, Florence, SC 29506-2616 | 2013-06-28 |
| 1841580412 | Hopehealth, Inc. | Clinic/Center | 121 S Evander Dr, Florence, SC 29506-4212 | 2011-04-15 |
| 1104128487 | Healthpoint Family Care, Inc. | Clinic/Center | 7607 Dixie Hwy, Florence, KY 41042-2689 | 2010-11-19 |
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| 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 | ||||
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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.