Organization
FAMILY HEALTH CENTER, INC
Active
Other names
Family Health Center Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASHAD N ALI M.D., J.D., FAGOG (EXECUTIVE DIRECTOR)
(601) 425-3033
Entity
Organization
Contact information
Practice address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
(601) 422-0431
Mailing address
PO BOX 4361, LAUREL, MS 39441-4361
(601) 425-3033
(601) 422-0431
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09010072
—
MS
Enumeration date
12/04/2012
Last updated
12/04/2012
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