Organization · Type 2 NPI
Family Health Center Inc
Federally Qualified Health Center (FQHC) · Ellisville, MS
NPI number
1083255087
Active
Practice location
5192 Highway 11 N
Ellisville, MS 39437-5050
Fax (601) 428-6561
Mailing address
P O Box 4361 117 South 11th Avenue
Laurel, MS 39441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
40 other providers at this address
- Adam BrennerRegistered Nurse Ellisville, MS NPI 1154065506
- Amanda Allred, LMSWSocial Worker Ellisville, MS NPI 1366459943
- Anitra Posey, LPNLicensed Practical Nurse Ellisville, MS NPI 1134843675
- Audrey McCullum, CCSSCounselor Ellisville, MS NPI 1720504004
- Chandra Phipps, CPSSMental Health Counselor Ellisville, MS NPI 1659095180
- Chloe KingRegistered Nurse Ellisville, MS NPI 1699442848
- Danielle Porter, PCMHTMental Health Counselor Ellisville, MS NPI 1033707294
- Debra Long, LPCCounselor Ellisville, MS NPI 1376942441
- Delia Brown-KeysDay Training/Habilitation Specialist Ellisville, MS NPI 1477277945
- Denicka JonesRegistered Nurse Ellisville, MS NPI 1043984826
- Dominique CommonCounselor Ellisville, MS NPI 1487382958
- Donnie PruittRegistered Nurse Ellisville, MS NPI 1285209643
About NPI 1083255087
Family Health Center Inc's National Provider Identifier is 1083255087, issued on Oct 1, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Ellisville, MS. The record was last updated on Jan 17, 2020.