Organization
NORTHEAST MISSISSIPPI HEALTH CARE, INC.
Active
Other names
Mt. Pleasant Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARJORIE P. MCKINNEY (EXECUTIVE DIRECTOR)
(662) 838-2163
Entity
Organization
Contact information
Practice address
154 MT. PLEASANT ROAD, MT. PLEASANT, MS 38649
(662) 851-7939
(662) 851-9053
Mailing address
12 EAST BRUNSWICK AVE., P.O. BOX 698, BYHALIA, MS 38611
(662) 851-7939
(662) 851-9053
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9015490
—
MS
Enumeration date
01/08/2007
Last updated
11/17/2010
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