Voice Of Calvary Family Health Center Inc

LBN: Voice Of Calvary Family Health Center Inc
Voice Of Calvary Family Health Center Inc is an health care organization with primary practice located at 350 W Woodrow Wilson Ave Suite 611, Jackson MS 39213-7681. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Voice Of Calvary Family Health Center Inc can be contacted via phone (601) 713-3233, or through Wheeler, Primaus via phone (601) 984-8467.

Contact Information

Primary practice address
350 W Woodrow Wilson Ave Suite 611 Jackson MS 39213-7681
Phone: (601) 713-3233
Fax: (601) 713-2851
Website:
Map and Directions
Authorized official contact:
Name: Wheeler, Primaus
Phone: (601) 984-8467

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 18106 Mississippi

Profile Details

NPI number 1770525057
LBN Legal business name Voice Of Calvary Family Health Center Inc
DBA Doing business as
Authorized official Wheeler, Primaus
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated May 15th, 2008 - about 17 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 1770525057 NPPES
Mississippi Other 25-1964 FQHC CMS CCN
Mississippi MEDICAID 08753398 FQHC CMS CCN

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