Family Health Center INC
NPI #1083255087 in Ellisville, Mississippi
Provider Information
- NPI Number
- 1083255087
- Entity Type
- Organization
- Organization Name
- Family Health Center INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 1, 2019
- Last Updated
- Jan 17, 2020
Practice Location
- Address
- 5192 HIGHWAY 11 N
- City
- Ellisville
- State
- Mississippi
- ZIP Code
- 39437-5050
- Phone
- (601) 425-3033
Authorized Official
- Name
- CONEY LEE JOHNSON
- Title
- CHIEF OPERATING OFFICER
- Phone
- (601) 425-3033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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