FAMILY CLINIC,PLLC – NPI #1902054679
Clinic/Center

FAMILY CLINIC,PLLC is an AHC clinic located in GULFPORT, MS. NPPES has assigned the NPI number 1902054679 to FAMILY CLINIC,PLLC on September 05, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 13 years ago on Jul 19, 2013. 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 CLINIC,PLLC below.

NPI Profile for
FAMILY CLINIC,PLLC

NPI Number
1902054679
Enumeration Date

(about 18 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 CLINIC,PLLC
Primary location
350 COWAN RD
GULFPORT, MS 39507-2008
Phone: (228) 896-5195 Fax: (228) 897-2395
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EUGENE MCNALLY
OWNER
Phone: (228) 896-5195
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
261QP2300X
- Clinic/Center / Primary Care (Primary)		 MS 11462

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.