| Family Health Center | |
|
117 S 11th Ave Laurel MS 39440-4312 | |
| (601) 425-3033 | |
| (601) 428-6561 |
| Full Name | Family Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 117 S 11th Ave, Laurel, Mississippi |
| Authorized Official Name and Position | Ladonna Michelle Branch (CERTIFIED NURSE PRACTIONER) |
| Authorized Official Contact | 6014253033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center 117 S 11th Ave Laurel MS 39440-4312 Ph: (601) 425-3033 | Family Health Center 117 S 11th Ave Laurel MS 39440-4312 Ph: (601) 425-3033 |
| NPI Number | 1093058968 |
|---|---|
| Provider Enumeration Date | 03/29/2013 |
| Last Update Date | 03/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093058968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | R872330 (Mississippi) | Primary |
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