G A Carmichael Family Health Center, Inc

LBN: G A Carmichael Family Health Center, Inc
G A Carmichael Family Health Center, Inc is an health care organization with primary practice located at 215 East 5Th Street , Yzaoo City MO 39194. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. G A Carmichael Family Health Center, Inc can be contacted via phone (662) 716-0691, or through Coleman, James L. via phone (601) 859-5213.

Contact Information

Primary practice address
215 East 5Th Street Yzaoo City MO 39194
Phone: (662) 716-0691
Fax: (601) 859-8771
Website:
Map and Directions
Authorized official contact:
Name: Coleman, James L. ED.D.
Phone: (601) 859-5213

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1871650788
LBN Legal business name G A Carmichael Family Health Center, Inc
DBA Doing business as
Authorized official Coleman, James L. ED.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Jun 25th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871650788 NPPES
Mississippi MEDICAID 09015901

Popular Providers