| G.a. Carmichael Family Health Center, Inc. | |
|
10340 Highway 433 W Bentonia MS 39040 | |
| (662) 755-2518 | |
| (601) 859-8771 |
| Full Name | G.a. Carmichael Family Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 10340 Highway 433 W, Bentonia, Mississippi |
| Authorized Official Name and Position | James L. Coleman (CEO) |
| Authorized Official Contact | 6018595213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G.a. Carmichael Family Health Center, Inc. 10340 Highway 433 W Bentonia MS 39040-9416 Ph: (601) 859-5213 | G.a. Carmichael Family Health Center, Inc. 10340 Highway 433 W Bentonia MS 39040 Ph: (662) 755-2518 |
| NPI Number | 1487196515 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487196515 | NPI | - | NPPES |
| 09207040 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
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