FAMILY HEALTH CARE CLINIC, INC. – NPI #1720324759
Clinic/Center

FAMILY HEALTH CARE CLINIC, INC. is an AHC clinic located in JACKSON, MS. NPPES has assigned the NPI number 1720324759 to FAMILY HEALTH CARE CLINIC, INC. on December 19, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 8 years ago on Jul 03, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY HEALTH CARE CLINIC, INC. below.

NPI Profile for
FAMILY HEALTH CARE CLINIC, INC.

NPI Number
1720324759
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAMILY HEALTH CARE CLINIC, INC.
Primary location
4635 HIGHWAY 80 E
JACKSON, MS 39208
Phone: (601) 825-7280 Fax: (601) 825-8130
Mailing address
PO BOX 24116
JACKSON, MS 39225-4116
Phone: (601) 825-7280 Fax: (601) 825-8130
Organization Subpart
No
Authorized Official
KARINA CLAYTON
CHIEF FINANCIAL OFFICER
Phone: (601) 825-7280
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
MS

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.