# FAMILY HEALTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760488357
- **Authorized official:** MR. RASHAD N. ALI M.D., J.D., FAGOG (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (601) 425-3033

## Contact information

- **Practice address:** 117 SOUTH 11TH AVENUE, LAUREL, MS 39441-4361
- **Practice address phone:** (601) 425-3033
- **Practice address fax:** (601) 422-0431
- **Mailing address:** P.O. BOX 4361, LAUREL, MS 39440
- **Mailing address phone:** (601) 425-3033
- **Mailing address fax:** (601) 422-0431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | MS | Yes |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09010072 | — | MS |
| 05 | — | 9010072 | — | MS |