FAMILY HEALTH CENTER, INC (NPI# 1760488357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760488357 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTER, INC |
| Practice Address |
117 South 11th Avenue Laurel MS 39441-4361 |
| Mailing Address |
P.o. Box 4361 Laurel MS 39440 |
| Practice Telephone | 6014253033 |
| Practice Fax Number | 6014220431 |
| Mailing Telephone | 6014253033 |
| Mailing Fax Number | 6014220431 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2013-10-03 |
| Authorized Official Name | MR. RASHAD N. ALI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6014253033 |
| Authorized Official Credential | M.D., J.D., FAGO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ========= | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09010072 | 05 | |
| MS | 9010072 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952557621 | Family Health Center, Inc | Pharmacy | 2918 Portage St, Kalamazoo, MI 49001-3755 | 2008-08-14 |
| 1154502979 | Family Health Center, Inc | Specialist | 409 Willis Street, Suite 2, Taylorsville, MS 39168 | 2007-11-20 |
| 1578744900 | Family Health Center, Inc | Community Health Worker | 203 Broad Street, Sandersville, MS 39477-0279 | 2007-11-14 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1902234123 | Family Health Center, Inc | Clinic/Center | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2013-10-25 |
| 1225373178 | Family Health Center, Inc | Clinic/Center | 117 S 11th Ave, Laurel, MS 39440-4312 | 2012-12-04 |
| 1326102385 | Family Health Center, Inc | Durable Medical Equipment & Medical Supplies | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2006-12-21 |
| Street Address |
117 SOUTH 11TH AVENUE |
| City | LAUREL |
| State | MS |
| Zip Code | 39441-4361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539017 | Bernard G. De Asis | Legal Medicine | 117 South 11th Avenue, Laurel, MS 39440 | 2005-06-27 |
| 1831447028 | Bonita Nicole Jaynes | Dietitian, Registered | 117 South 11th Avenue, Laurel, MS 39440-4312 | 2012-08-21 |
| 1891925616 | Coleman Henley Jr. | Internal Medicine | 117 South 11th Avenue, Laurel, MS 39440-2914 | 2009-07-15 |
| 1518159391 | Burgese Keki Turel | Clinic/Center | 117 South 11th Avenue, Laurel, MS 39440 | 2007-08-15 |
| 1982600730 | Sudhir Narayan Pujari | Pediatrics | 117 South 11th Avenue, Laurel, MS 39440 | 2005-06-27 |
| 1831195593 | Ronald A. Henry | Pharmacist | 117 South 11th Avenue, Laurel, MS 39440-4312 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124143185 | Ashley C Shoemaker | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39441 | 2007-03-20 |
| 1831410638 | Thomas Pharmacy Gardiner Center, LLC | Pharmacy | 2341 Hwy 15 North, Laurel, MS 39441-4111 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184475 | Spectra International | In Home Supportive Care | 10145 Deep Skies Dr, Laurel, MD 20723-5781 | 2020-11-08 |
| 1467053231 | All Is Well Therapeutic Services, LLC | Counselor | 3625 Sweetbush Trl, Laurel, MD 20724-2493 | 2020-11-06 |
| 1346841236 | Golden Oasis Healthcare Services LLC | Nurse Practitioner | 333 Old Line Ave, Laurel, MD 20724-2407 | 2020-11-05 |
| 1801497029 | Myles Schaultz | Psychologist | 202 Easton S Apt 101, Laurel, MD 20724-2131 | 2020-11-04 |
| 1720689953 | Basilia Dameida | Nurse's Aide | 2 Woodland Ct Apt 303, Laurel, MD 20707-4527 | 2020-11-04 |
| 1295336618 | Rupesh Sheth | Pharmacist | Sams's Club, 3535 Russett Green E, Laurel, MD 20724 | 2020-11-03 |
| 1619577749 | Rose Nsoh Zama | Home Health Aide | 15015 Kalmia Dr, Laurel, MD 20707-3631 | 2020-10-28 |
| 1487254546 | Kenita Kayela Douglas | Behavior Technician | 8913 Matthews Ct, Laurel, MD 20708-2008 | 2020-10-28 |
| 1659971711 | Montpelier Family Dentistry LLC | Durable Medical Equipment & Medical Supplies | 14502 Greenview Dr Ste 100, Laurel, MD 20708-3221 | 2020-10-28 |
| 1437759792 | Pauline Anne Taku | Nurse's Aide | 200 Fort Meade Rd Apt 708, Laurel, MD 20707-4428 | 2020-10-27 |
| Find all providers in LAUREL | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497384945 | Unique Minds Behavioral Health Services, LLC | Clinic/Center | 8101 Sandy Spring Rd Ste 300-e6, Laurel, MD 20707-3596 | 2020-04-06 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1114486230 | Dentistry for Children of Maryland, LLC | Clinic/Center | 13600 Baltimore Ave Ste 200, Laurel, MD 20707-9495 | 2019-03-18 |
| 1578634127 | Jones County School | Clinic/Center | 990 Highway 15 S, Laurel, MS 39443-0801 | 2006-11-13 |
| 1881255685 | Watkins Acupuncture Clinic, LLC | Clinic/Center | 7750 Montpelier Rd, Laurel, MD 20723-6010 | 2019-06-24 |
| 1518486943 | Jefferson Neurology Clinic, LLC | Clinic/Center | 319 S 13th Ave, Laurel, MS 39440-4342 | 2017-09-18 |
| 1821515388 | South Central Clinics, Inc | Clinic/Center | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1225373178 | Family Health Center, Inc | Clinic/Center | 117 S 11th Ave, Laurel, MS 39440-4312 | 2012-12-04 |
| 1245502012 | My Family Medical Care Center, LLC | Clinic/Center | 14201 Laurel Park Dr, Suite 102a, Laurel, MD 20707-5203 | 2012-02-08 |
| 1063742658 | South Central Regional Medical Center | Clinic/Center | 1220 Jefferson St, Laurel, MS 39440-4355 | 2010-01-05 |
| Find all providers in LAUREL | ||||
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.