Organization
NORTHEAST MISSISSIPPI HEALTH CARE, INC.
Active
Other names
Byhalia Family Health Center - Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARJORIE P. MCKINNEY (EXECUTIVE DIRECTOR)
(662) 838-2163
Entity
Organization
Contact information
Practice address
12 EAST BRUNSWICK AVE., BYHALIA, MS 38611
(662) 838-2163
(662) 838-7944
Mailing address
12 EAST BRUNSWICK AVE., PO BOX 698, BYHALIA, MS 38611
(662) 838-2163
(662) 838-7944
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9010036
—
MS
Enumeration date
01/09/2007
Last updated
11/17/2010
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