Organization
KING FAMILY HEALTHCARE, INC.
Active
Organization
KING FAMILY HEALTHCARE, INC.
Active
Other names
Mid-Town Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH B KING FNP-BC (PRESIDENT)
(662) 665-0006
Entity
Organization
Contact information
Practice address
815 CHILDS STREET, CORINTH, MS 38834-3720
(662) 665-0006
(662) 665-9151
Mailing address
815 CHILDS ST, PO BOX 1854, CORINTH, MS 38834-4934
(662) 665-0006
(662) 665-9151
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
R568031
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119995
—
MS
01
—
428040637B
BCBS
—
01
—
500000543
MEDICARE
—
01
—
S44159
UPIN
MS
Enumeration date
07/16/2008
Last updated
03/26/2026
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