Family Care Clinic, Pllc

LBN: Family Care Clinic, Pllc
Family Care Clinic, Pllc is an health care organization with primary practice located at 1440 Highway 1 S , Greenville MS 38701-7140. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Family Care Clinic, Pllc can be contacted via phone (662) 820-7780, or through Hodges, Lamonica Antonette via phone (662) 820-7780.

Contact Information

Primary practice address
1440 Highway 1 S Greenville MS 38701-7140
Phone: (662) 820-7780
Fax: (888) 980-6547
Website:
Map and Directions
Authorized official contact:
Name: Hodges, Lamonica Antonette Nurse Practitioner (NP)
Phone: (662) 820-7780

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 901388 Mississippi

Profile Details

NPI number 1124481791
LBN Legal business name Family Care Clinic, Pllc
DBA Doing business as
Authorized official Hodges, Lamonica Antonette Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2016
Last updated Apr 1st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124481791 NPPES
Mississippi MEDICAID 09551264

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