# SOUTHERN HEALTH CORP. OF HOUSTON, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medical Clinic of Okolona
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922174655
- **Authorized official:** MS. SHEILA BROCKMAN (CEO)
- **Authorized official phone:** (662) 456-3700

## Contact information

- **Practice address:** 518 WEST DR, OKOLONA, MS 38860-1624
- **Practice address phone:** (662) 447-1405
- **Practice address fax:** (662) 447-1408
- **Mailing address:** 521 WEST DR, OKOLONA, MS 38860-1625
- **Mailing address phone:** (662) 447-1405
- **Mailing address fax:** (662) 447-1408

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 01/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 07728748 | — | MS |