Mid-Town Medical
LBN: King Family Healthcare, Inc.
Mid-Town Medical is an health care organization with primary practice located at 815 Childs Street , Corinth MS 38834-3720. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
King Family Healthcare, Inc. can be contacted via phone (662) 665-0006, or through King, Deborah B via phone (662) 665-0006.
Contact Information
Primary practice address
815 Childs Street
Corinth MS 38834-3720
Phone: (662) 665-0006
Fax: (662) 665-9151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | R568031 | Mississippi |
Profile Details
| NPI number | 1134383482 |
|---|---|
| LBN Legal business name | King Family Healthcare, Inc. |
| DBA Doing business as | Mid-Town Medical |
| Authorized official | King, Deborah B FNP-BC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 16th, 2008 |
| Last updated | Feb 5th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134383482 | NPPES |
| Other | 428040637B | BCBS | |
| MEDICAID | 00119995 | BCBS | |
| Other | 500000543 | BCBS | |
| Other | S44159 | BCBS |
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